| Name Of the Firm : | Sanjeevani Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Laliteswar Nagar, Jajpur Town |
| RP Name : | Amiya Ku. Rout |
| Registration Number : | 16119 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Amiya Kumar Rout |
| R : | 23362 |
| RC : | 23363 |
| RX : | 8746 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/24/2007 |
| Date of Expiry : | 12/23/2017 |
| Remarks : |