| Name Of the Firm : | M/s, Pravansu Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Bhatia, P.O.- Chorda |
| RP Name : | Samir Kumar Das |
| Registration Number : | 22372 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sanjukta Hati |
| R : | 26533 |
| RC : | 26534 |
| RX : | 10288 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/27/2011 |
| Date of Expiry : | 6/26/2016 |
| Remarks : |