| Name Of the Firm : | Sri Sanjavani Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.401 Khata No.62, W. No.13 AT-PO-PS-Kujang DIST-Jagatsinghpur. |
| RP Name : | Dipak Kumar Pradhan |
| Registration Number : | 10384 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Asit Kumar Das |
| R : | 26217 |
| RC : | 26218 |
| RX : | 10134 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/19/2011 |
| Date of Expiry : | 2/20/2016 |
| Remarks : |