| Name Of the Firm : | Madani Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1555/56 Khata No.1012/101 AT-PO-Krushnanandapur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | S.K. Jallaudin Ahamed |
| Registration Number : | 8793 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | S.K.Niyaz uddin |
| R : | 6298 |
| RC : | 6299 |
| RX : | 662 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/15/1986 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | Change of premises recommended |