| Name Of the Firm : | Shyama Medicine Store, |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Jaraka |
| RP Name : | Devi Prasana Das |
| Registration Number : | 8199 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dinesh Kumar Panda |
| R : | 27389 |
| RC : | 27390 |
| RX : | 10707 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/28/2012 |
| Date of Expiry : | 5/27/2017 |
| Remarks : |