| Name Of the Firm : | Jeevan Jyoti Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 642, Khata no- 20, Thana No- 56, At/po- Larka |
| RP Name : | Akshya Kumar Dhala |
| Registration Number : | 16196 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Madan Sundar Behera |
| R : | SL-NU-3372R |
| RC : | SL-NU-3373Rc |
| RX : | SL-NU-3374Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/28/2006 |
| Date of Expiry : | 9/27/2011 |
| Remarks : | Applied for Renewal, recommendation Lt. No- 784/ 30.11.2011 |