| Name Of the Firm : | Tridev medicine Store |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.176/2530 , Khata No.633/211 , At-PO-Ambiki , PS-Erasama , Dist-Jagatsinghpur |
| RP Name : | Pradipta Kumar Das |
| Registration Number : | 10099 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Barid Baran Jena |
| R : | 28593 |
| RC : | 28594 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.08.23 |
| Date of Expiry : | 2018.08.22 |
| Remarks : |