| Name Of the Firm : | Sai Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Jenapur |
| RP Name : | Priya darsan Das |
| Registration Number : | 21077 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Basanta Kumar Dora |
| R : | 24470 |
| RC : | 24471 |
| RX : | 9294 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/24/2009 |
| Date of Expiry : | 3/23/2014 |
| Remarks : |