| Name Of the Firm : | Dhabaleswar Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Kalamatia, P.O.- Kaipada |
| RP Name : | Sanjaya Kumar Jena |
| Registration Number : | 16405 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suresh Kumar Sahoo |
| R : | 23130 |
| RC : | 23131 |
| RX : | 8632 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/11/2007 |
| Date of Expiry : | 10/10/2017 |
| Remarks : |