| Name Of the Firm : | Chandaneswar Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Madhubana Hata |
| RP Name : | Satyabrata Guru |
| Registration Number : | 19222 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Promod Ku. Mallick |
| R : | 24744 |
| RC : | 24745 |
| RX : | 9431 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/19/2009 |
| Date of Expiry : | 8/18/2014 |
| Remarks : |