| Name Of the Firm : | Sajan Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Khata No. 46, Plot No. 674, Survey No. 23, Ward No. 09, At/P.O.- Chikiti Pentho |
| RP Name : | B. Ashok Kumar Subudhi |
| Registration Number : | 2850 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ranjita Kumari Sahu |
| R : | SLGAI-271 |
| RC : | SLGAI-272 |
| RX : | SLGAI-147 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |