| Name Of the Firm : | Rx Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.62/716 Khata No.244/35 AT-Purijena PO-Tiran PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Santosh Kumar Mohanty |
| Registration Number : | 12937 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Santosh Kumar Mohanty |
| R : | 26153 |
| RC : | 26154 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/24/2011 |
| Date of Expiry : | 1/23/2016 |
| Remarks : |