| Name Of the Firm : | Sanjibanee Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Kh. NO-1311/31, Plot No-2291, Astarang,Puri |
| RP Name : | Sri Jitendra Kumar Sahoo |
| Registration Number : | 18556 /OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Sri Iswar Chandra Behera |
| R : | 23756 |
| RC : | 23757 |
| RX : | 8941 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/11/2008 |
| Date of Expiry : | 7/10/2013 |
| Remarks : |