| Name Of the Firm : | Baba Gorekhnath Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.167/323 Khata No.109/11 AT-Mangala Bazar PO-Katra PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Saurav Sekhar Swain |
| Registration Number : | 17216 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Nilima Nanda |
| R : | 21372 |
| RC : | 21373 |
| RX : | 7750 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/1/2005 |
| Date of Expiry : | 9/30/2015 |
| Remarks : |