| Name Of the Firm : | Sanjeevani Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot no- 665, Kh. No- 266, At- Jayashree Patna,Pipili,puri |
| RP Name : | Sri Bibekananda Choudhury |
| Registration Number : | 18565/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sangram Kesari Muduli |
| R : | 20125 |
| RC : | 20126 |
| RX : | 7123 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/6/2004 |
| Date of Expiry : | 8/5/2014 |
| Remarks : |