| Name Of the Firm : | Baba Gorekhnath Medicine Store |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.910, Khata No.351/1, At-Sompur, PO-Anolipatna, PS-Kujang, Dist-Jagatsinghpur |
| RP Name : | Manas Ranjan Sahu |
| Registration Number : | 22507 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Susant Kumar Parida |
| R : | 28891 |
| RC : | 28892 |
| RX : | 11458 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.11.18 |
| Date of Expiry : | 2018.11.17 |
| Remarks : |