| Name Of the Firm : | Champati Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot no: 735/854/1128 Shop no. 03, Mz- Bijipur, PO/PS- Tomando |
| RP Name : | Bhagirathi Sahoo (w.e.f 21.06.2013) |
| Registration Number : | 26124/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sanjay Ku.Champati |
| R : | 25228 |
| RC : | 25229 |
| RX : | 9673 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/22/2010 |
| Date of Expiry : | Applied for change of premises & constitution w.e.f 21-06-13 |
| Remarks : | Send to Directorate / L.No. 1115 dt. 05.08.2013 |