| Name Of the Firm : | Tulasi Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Sansailo |
| RP Name : | Sakuntala Mohanta |
| Registration Number : | 17002 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Narayan Mohanta |
| R : | 27347 |
| RC : | 27348 |
| RX : | 10686 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/11/2012 |
| Date of Expiry : | 5/10/2017 |
| Remarks : |