| Name Of the Firm : | Om Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1060 Khata No.437/203 At-Nimain Market Compex, Panisalia, PO/PS/Dist-Jagatsinghpur |
| RP Name : | Jyoti Pahhanaik |
| Registration Number : | 19051 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Amina Priyadarshini |
| R : | 27719 |
| RC : | 27720 |
| RX : | 10872 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/4/2012 |
| Date of Expiry : | 10/3/2017 |
| Remarks : |