| Name Of the Firm : | Gaytree Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Kaima |
| RP Name : | Nirjharani Mohanty |
| Registration Number : | 22352 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Ganeswar Nayak |
| R : | 27517 |
| RC : | 27518 |
| RX : | 10771 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/7/2012 |
| Date of Expiry : | 7/6/2017 |
| Remarks : |