| Name Of the Firm : | Sibajyoti Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | K K-9A, Plot No-MIG-142, Kalinga Nagar, BBSR |
| RP Name : | Sujata Subudhi |
| Registration Number : | 15634/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt. Sujata Mohanty |
| R : | 26637 |
| RC : | 26638 |
| RX : | 10388 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 7/6/2011 |
| Date of Expiry : | 7/5/2016 |
| Remarks : |