| Name Of the Firm : | Khusi Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Jaraka |
| RP Name : | Gopal Kr. Mohanty |
| Registration Number : | 12823 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Niranjan sahu |
| R : | 18326 |
| RC : | 18327 |
| RX : | 5891 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/18/2006 |
| Date of Expiry : | 9/17/2016 |
| Remarks : | C/R Recommended |