| Name Of the Firm : | Suresh Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Haripur Hata |
| RP Name : | Suresh Kumar Barik |
| Registration Number : | 12622 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suresh Kumar Barik |
| R : | 19074 |
| RC : | 19075 |
| RX : | 6653 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/18/2003 |
| Date of Expiry : | 9/17/2013 |
| Remarks : | C/R Recommended |