| Name Of the Firm : | Mohanty Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At. Chandikhole, P.O. Sunguda |
| RP Name : | Rajanikant Sahoo |
| Registration Number : | 12558 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Jayashree Mohanty |
| R : | 26867 |
| RC : | 26868 |
| RX : | 10448 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/19/2011 |
| Date of Expiry : | 10/18/2016 |
| Remarks : |