| Name Of the Firm : | Sai Ganesh Medicine store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Upper Baruan, P.O.- Kabirpur |
| RP Name : | Santosh Ku. Nayak |
| Registration Number : | 16695 |
| Competent Person : | |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Subas Chandra Mohapatra |
| R : | 26679 |
| RC : | 26680 |
| RX : | 10359 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/1/2011 |
| Date of Expiry : | 7/31/2016 |
| Remarks : |