| Name Of the Firm : | Sanjeevani Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Asurabandha, Via: Surada,Plot No.09/891,Kh.No.04 |
| RP Name : | Ajit Kumar Sahu |
| Registration Number : | 20851 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Aswini Kumar Sahu |
| R : | 6239 |
| RC : | 6240 |
| RX : | 6241 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2011.11.09 |
| Date of Expiry : | 2016.11.08 |
| Remarks : |