| Name Of the Firm : | Divya Jyoti Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 3307, Khata No. 698, At/P.O.- Subalaya |
| RP Name : | Jagat Kumar Bisoyi |
| Registration Number : | 22803 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Santosh Kumar Sahu |
| R : | SLGAII-5476 |
| RC : | SLGAII-5477 |
| RX : | SLGAII-5478 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |