| Name Of the Firm : | Sanjivani Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 160/581, Khata No.- 135/90, Kesinga, Kalahandi |
| RP Name : | Rajiv Lochan Panda |
| Registration Number : | 15842 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Aslam Khan |
| R : | 1581 |
| RC : | 1582 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 3/16/2003 |
| Date of Expiry : | 3/15/2018 |
| Remarks : | Appied for C/R |