| Name Of the Firm : | Sanjaya Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | plot No-212, at/po-pipili, dist-puri |
| RP Name : | Sri Raj Kumar Agrawalla |
| Registration Number : | 16794/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Pawan Kumar Agrawal |
| R : | 8461 |
| RC : | 8462 |
| RX : | 1505 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/5/1990 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |