| Name Of the Firm : | Life line medical Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot no: 283, Kalyani Plaza, Patrapada |
| RP Name : | Prashant Ku Moharana |
| Registration Number : | 19414/opc |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sanjaya Ku Nayak |
| R : | 25014 |
| RC : | 25015 |
| RX : | 9565 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/18/2010 |
| Date of Expiry : | 1/17/2015 |
| Remarks : |