| Name Of the Firm : | Modern Drug House |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Balichandrapur |
| RP Name : | Sangram Routray |
| Registration Number : | 14558 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Gourahari Biswal |
| R : | 7176 |
| RC : | 7177 |
| RX : | 8129 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/2/1988 |
| Date of Expiry : | 3/19/2015 |
| Remarks : |