| Name Of the Firm : | Chandi Mata Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Sansuar, P.O.- Markandapur |
| RP Name : | Bikash Ku. Mishra |
| Registration Number : | 19352 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Ranjan Kumar Nayak |
| R : | 23206 |
| RC : | 23207 |
| RX : | 8670 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/1/2007 |
| Date of Expiry : | 10/31/2017 |
| Remarks : |