| Name Of the Firm : | Baba Gorekhnath Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.179 Khata No.694 AT-PO-Tarapur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Duryadhan Dalai |
| Registration Number : | 10024 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Pramod Kumar Rout |
| R : | 14076 |
| RC : | 14077 |
| RX : | 4256 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/17/1999 |
| Date of Expiry : | 2017-31-12 |
| Remarks : |