| Name Of the Firm : | Dipti Prava Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Chandikhole |
| RP Name : | Deepak Ku. Biswal |
| Registration Number : | 12021 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dillip Kumar Biswal |
| R : | 19490 |
| RC : | 19491 |
| RX : | 6806 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/7/2004 |
| Date of Expiry : | 1/14/2014 |
| Remarks : | C/R Recommended |