| Name Of the Firm : | Isaneswar Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Balichandrapur |
| RP Name : | Alok Kumar Moharana |
| Registration Number : | 20503 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Amar Ranjan Prusty |
| R : | 11296 |
| RC : | 11297 |
| RX : | 2867 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/7/1995 |
| Date of Expiry : | 5/12/2015 |
| Remarks : | C/R Recommended |