| Name Of the Firm : | The Life Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Quazisahi, Dist:Bhadrak, Plot No.1185, Khata No.131 |
| RP Name : | Sri Manas Ranjan Sankhua |
| Registration Number : | 12984(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Manas Ranjan Sankhua |
| R : | BH-22026/R |
| RC : | BH-22027/RC |
| RX : | BH-8074/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/18/2006 |
| Date of Expiry : | 5/17/2016 |
| Remarks : | C/R Not Issued |