| Name Of the Firm : | Pravat Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At-Baransa,P.O.- Rasulpur |
| RP Name : | Dinesh Kumar Nayak |
| Registration Number : | 6331 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Pravat Kumar Dwibedi |
| R : | 9945 |
| RC : | 9946 |
| RX : | 2188 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/20/1992 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Recommended |