| Name Of the Firm : | Brundaban Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Dharmasala |
| RP Name : | Sunil Ku. Panda |
| Registration Number : | 19973 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bijaya Ku. Rout |
| R : | 24848 |
| RC : | 24849 |
| RX : | 9483 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/14/2009 |
| Date of Expiry : | 10/13/2014 |
| Remarks : |