| Name Of the Firm : | Debi Ambika Medicine Store, |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | plot no-2623, kh no-26d1,At-Sriram,PO-Dadhibamanpur, P.S.-Sadar, Ctc. |
| RP Name : | Debi Dutta Mohanty, |
| Registration Number : | 7886/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Debi Dutta Mohanty |
| R : | CU16158/R |
| RC : | CU16159/RC, |
| RX : | CU5296/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/12/2007 |
| Date of Expiry : | deemed to be valid 2017/12/11 |
| Remarks : |