| Name Of the Firm : | M/s,. Brundaban Jew Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Kasipur, P.O.- Sujanpur |
| RP Name : | Sarada Prasana Rout |
| Registration Number : | 19299 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suniti Rout |
| R : | 8170 |
| RC : | 8171 |
| RX : | 1399 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/13/1989 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |