| Name Of the Firm : | Subham Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No-1316 (Sabik), 550(Hal), Khata No-762 At/PO-Tirtol Dist-Jagatsinghpur |
| RP Name : | Bishnu Charan Barik |
| Registration Number : | 3341 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Shreekanta Nayak |
| R : | 27581 |
| RC : | 27582 |
| RX : | 10803 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/8/2012 |
| Date of Expiry : | 8/7/2017 |
| Remarks : |