| Name Of the Firm : | Shree Gopal Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1287 Khata No.203 AT-Arana PO-jankothi PS-DIST-Jagatsinghpur. |
| RP Name : | Prakash Kumar Jena |
| Registration Number : | 16928 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Puspalata Swain |
| R : | 25487 |
| RC : | 25488 |
| RX : | 9801 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/7/2011 |
| Date of Expiry : | 6/6/2015 |
| Remarks : |