| Name Of the Firm : | Susila Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Routrapur, Jajpur Town |
| RP Name : | Rajendra Prasad Rout |
| Registration Number : | 14094 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sanghamitra Mohapatra |
| R : | 23168 |
| RC : | 23169 |
| RX : | 8651 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/16/2007 |
| Date of Expiry : | 10/15/2017 |
| Remarks : |