| Name Of the Firm : | Susanta Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Madhubana Road, Kuakhia |
| RP Name : | Leyaraj Pradhan |
| Registration Number : | 24645 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Susanta Kumar Sahoo |
| R : | 26451 |
| RC : | 26452 |
| RX : | 10247 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/30/2011 |
| Date of Expiry : | 5/29/2016 |
| Remarks : |