| Name Of the Firm : | Balaji Medical Hall |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.110 Khata No.152 AT-Tihidu Bazar PO-Ambasala PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Surajita Bhanja |
| Registration Number : | 23468 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Pradipta Kumar Biswal Sunil Kumar Mohanty |
| R : | 26101 |
| RC : | 26102 |
| RX : | 1077 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/12/2011 |
| Date of Expiry : | 1/11/2016 |
| Remarks : |