| Name Of the Firm : | Susruta Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.328 Khata No.63 AT-PO-Balituth PS-Kujang DIST-Jagatsinghpur. |
| RP Name : | Bibekananda dash |
| Registration Number : | 11082 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Bibekananda Dash |
| R : | 24142 |
| RC : | 24143 |
| RX : | 9131 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/29/2008 |
| Date of Expiry : | 10/28/2013 |
| Remarks : |