| Name Of the Firm : | Sanjivani Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.-785/2053, Khata No.- 59, Ladugaon, kalahandi |
| RP Name : | Sri Trilochan Panda |
| Registration Number : | 18047 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt.Suruchi thakur |
| R : | 3763 |
| RC : | 3764 |
| RX : | 3765 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 6/27/2012 |
| Date of Expiry : | 6/26/2017 |
| Remarks : | G.D.L |