| Name Of the Firm : | Barsha Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1642 & 1643 Khata No.948/134 AT-PO-Gopiakud PS-Kujang DIST-Jagatsinghpur. |
| RP Name : | Ajaya Kumar Maharana |
| Registration Number : | 25403 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Baba Bibhu Prasad Samal |
| R : | 19806 |
| RC : | 19807 |
| RX : | 6963 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/23/2004 |
| Date of Expiry : | 4/2/2014 |
| Remarks : |