| Name Of the Firm : | Chandan Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 2225, Khata No- 344, Word No- 3, At/po- Khariar Road |
| RP Name : | Sujan Kumar Sahu |
| Registration Number : | 21125 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Chandrakant Sahu |
| R : | SL-NU-5773R |
| RC : | SL-NU-5774Rc |
| RX : | SL-NU-5775Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/18/2011 |
| Date of Expiry : | 1/17/2016 |
| Remarks : |