| Name Of the Firm : | Champeswar Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.3250(sabak), 2838(hal) Khata No.24 (sabak), 153 (hal) AT-Singharsahi PO-Dihasahi PS-Ersama DIST-Jagatsinghpur. |
| RP Name : | Dipti Ranjan Das |
| Registration Number : | 11173 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Gitarani Maity |
| R : | 11872 |
| RC : | 11873 |
| RX : | 3155 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/1/1998 |
| Date of Expiry : | 2016-31-12 |
| Remarks : |