| Name Of the Firm : | Baidyanath Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Sitaleswar, Jajpur Town |
| RP Name : | Suraj Kumar Panda |
| Registration Number : | 21451 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt. Sanjurani Mohanty |
| R : | 26325 |
| RC : | 26326 |
| RX : | 10184 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/26/2011 |
| Date of Expiry : | 4/25/2016 |
| Remarks : |