| Name Of the Firm : | Trisakti Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Haripur Hata |
| RP Name : | Madhaba Nanda Kandi |
| Registration Number : | 2362 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Malaya Ranjan Kandi |
| R : | 20275 |
| RC : | 20276 |
| RX : | 7199 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/27/2004 |
| Date of Expiry : | 9/26/2014 |
| Remarks : | C/R Recommended |