| Name Of the Firm : | Kailash Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Chandanpur |
| RP Name : | Dillip Kumar Samal |
| Registration Number : | 10391 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dipak Kumar Samal |
| R : | 25331 |
| RC : | 25332 |
| RX : | 9724 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/19/2010 |
| Date of Expiry : | 4/18/2015 |
| Remarks : |