| Name Of the Firm : | Chandmama Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Chari Nangal |
| RP Name : | Sk. Allauddin Ahmmed |
| Registration Number : | 11083 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sk. Sirazuddin Ahmmed |
| R : | 10534 |
| RC : | 10535 |
| RX : | 2490 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/15/1993 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |