| Name Of the Firm : | Premalata Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.809 Khata No.145 AT-Uttarasasan PO-Madhyasasan PS-DIST-Jagatsinghpur. |
| RP Name : | suresh Dash |
| Registration Number : | 20711 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Dhruba Charan Mishra |
| R : | 18862 |
| RC : | 18863 |
| RX : | 6552 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/28/2003 |
| Date of Expiry : | 5/27/2018 |
| Remarks : |