| Name Of the Firm : | Leesa Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Chandikhole |
| RP Name : | Subrat Behera |
| Registration Number : | 6086 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Damodar Mohanty |
| R : | 3799 |
| RC : | 3800 |
| RX : | 1028 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/17/1979 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |