| Name Of the Firm : | Khan Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.883/4512 Khata No.1012/996 At-Talabarai (Medical Square), PO-Krushnanandapur PS-Tirtol, Dist-Jagatsinghpur |
| RP Name : | Mohammed Sakib |
| Registration Number : | 17406 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Mahammed Sakib |
| R : | 27499 |
| RC : | 27500 |
| RX : | 10762 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/11/2012 |
| Date of Expiry : | 7/10/2017 |
| Remarks : |