| Name Of the Firm : | Ambika Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Kabirpur |
| RP Name : | Sanjaya Ku. Prusty |
| Registration Number : | 16193 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bijaya Ku. Mohanty |
| R : | 10733 |
| RC : | 10734 |
| RX : | 2589 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/1/2004 |
| Date of Expiry : | 4/30/2014 |
| Remarks : | C/R Recommended |