| Name Of the Firm : | Chandan Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Gangapur,Plot No.2372,Kh.No.442 |
| RP Name : | S. Asit Kumar Patro |
| Registration Number : | 21959 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Mahanta Kumar Bhuyan |
| R : | 505 |
| RC : | 506 |
| RX : | 252 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1991.05.30 |
| Date of Expiry : | 2016.12.31 |
| Remarks : |