| Name Of the Firm : | Life Line Pharma |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Plot No.2674,Khata No.1744,Ward.No.26,Jayprakash Nagar, BAM |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Smt. Banita Kumari Panda |
| Qualification : | M.A |
| Name of the Proprietor : | Smt. Banita Kumari Panda |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI-2310 |
| WC : | GAI-2311 |
| WX : | GAI-2312 |
| Date of Issue : | 12/22/2012 |
| Date of Expiry : | 12/21/2017 |
| Remarks : |