| Name Of the Firm : | Shyam Sundar Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Neulapur |
| RP Name : | Sukanta Kumar Sahoo |
| Registration Number : | 13354 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bhaskar Sahoo |
| R : | 22568 |
| RC : | 22569 |
| RX : | 8350 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/29/2007 |
| Date of Expiry : | 1/28/2017 |
| Remarks : | C/R Recommended |