| Name Of the Firm : | Swoyam Prabhu Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | plot no. 460, shpo no. 01, Delta Chhaka, Nilakantheswar Marg, Jagamara |
| RP Name : | Sri Ashutosh Sitikanta Pradhan |
| Registration Number : | 13220/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt, Kabita Padhi |
| R : | 27279 |
| RC : | 27280 |
| RX : | 10652 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 4/30/2012 |
| Date of Expiry : | 4/29/2017 |
| Remarks : |