| Name Of the Firm : | Patitapaban Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.368 Khata No.523 AT-PO-Tarajanga PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Narayan Padhi |
| Registration Number : | 17987 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Ramakanta Mohanty |
| R : | 23172 |
| RC : | 23173 |
| RX : | 8653 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/11/2007 |
| Date of Expiry : | 10/10/2017 |
| Remarks : |