| Name Of the Firm : | Prativa Medical Store |
| Zone : | Central Zone |
| Range : | Mayurbhanj Range |
| Police Station : | |
| Address : | At- Panasia, Chhaka, Po-Khuntapur |
| RP Name : | Prasanta Kumar Senapati |
| Registration Number : | 12093 |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Prasanta Kumar Senapati |
| R : | 23230 |
| RC : | 23231 |
| RX : | 8682 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/7/2007 |
| Date of Expiry : | 11/6/2017 |
| Remarks : | C/R not issued |