| Name Of the Firm : | Tripathy Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Sukinda |
| RP Name : | Sanjib Kumar Mishra |
| Registration Number : | 8364 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sanjib Kumar Tripathy |
| R : | 14964 |
| RC : | 14965 |
| RX : | 4698 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/7/2000 |
| Date of Expiry : | 12/28/2016 |
| Remarks : |