| Name Of the Firm : | Sanjibani Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.677 Khata No.914/28 AT-Mulisingha PO-Harisingpur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Santosh Satpathy |
| Registration Number : | 19850 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Prakash Kumar Singh |
| R : | 25679 |
| RC : | 25680 |
| RX : | 9897 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/19/2010 |
| Date of Expiry : | 7/18/2015 |
| Remarks : |