| Name Of the Firm : | Life Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Masudpur |
| RP Name : | Sujit K. Mohapatra |
| Registration Number : | 12192 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Lakshmi Narayan Das |
| R : | 10608 |
| RC : | 10609 |
| RX : | 2527 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/24/1994 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |