| Name Of the Firm : | Jasobanta Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 337, Khata No.- 1456, At.- Medical Chowk, Bhawanipatna, Kalahandi |
| RP Name : | Sri Nihar Ranjan Padhi |
| Registration Number : | 21865 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suman Naik |
| R : | 1235 |
| RC : | 1236 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 8/7/2002 |
| Date of Expiry : | 8/6/2017 |
| Remarks : | C/R |