| Name Of the Firm : | Rabindra Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot no. 525/617, Uttara Chhak, Po- Balakati |
| RP Name : | Sri Chandrakanta Deo |
| Registration Number : | 11840/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sudhir Chandra Sahoo |
| R : | 18860 |
| RC : | 18861 |
| RX : | 6151 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 5/27/2003 |
| Date of Expiry : | 5/26/2013 |
| Remarks : | Not applied for C/R |