| Name Of the Firm : | Jeevan Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-881/3132,Khata no-520/118,Lochapada Road,Near Radio Station,Berhampur |
| RP Name : | Sri Sanjeeb Kumar Acharjya, |
| Registration Number : | 7283 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Jeevan Ranjan Panda |
| R : | GAI4536 |
| RC : | GAI4537 |
| RX : | GAI4538 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2008.11.11 |
| Date of Expiry : | 2013.11.10 |
| Remarks : |