| Name Of the Firm : | Sanjiban Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Paliabindha, Dist : Bhadrak Plot No.547, Khata No. 832 |
| RP Name : | Sri V.V. Parthasarathi Das |
| Registration Number : | 11846 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri V.V. Parthasarathi Das. |
| R : | BH-20389/R |
| RC : | BH-20390/RC |
| RX : | BH-7256/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/3/2004 |
| Date of Expiry : | 11/2/2014 |
| Remarks : | C/R Not Issued |