| Name Of the Firm : | Pravati Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-163, Haribhaina Chhak, Jatni |
| RP Name : | Sujata Bastia |
| Registration Number : | 17197/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sandeep Ku Mohanty |
| R : | 24650 |
| RC : | 24651 |
| RX : | 9384 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/22/2009 |
| Date of Expiry : | 6/21/2014 |
| Remarks : |