| Name Of the Firm : | M/s-Susama Medicine Store |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | plot no-535/1817, kh no-255/65, At/Po-Ghasiput, P.S.-Banki, Ctc. |
| RP Name : | Hemanta Kumar Das |
| Registration Number : | 12697/Opc |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Tanmay Kumar Das |
| R : | CU25337/R |
| RC : | CU25338/RC |
| RX : | CU9727/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/26/2010 |
| Date of Expiry : | 4/25/2015 |
| Remarks : |