| Name Of the Firm : | Jagannath Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | At- C.H.C campus, Rebena Nuagaon. Puri |
| RP Name : | 1. Sri Abhaya Ku. Jena 2. Sri Partha Sarathi Panda |
| Registration Number : | 1.5380/OPC 2. 8449 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Abhaya Kumar Jena |
| R : | 22804 |
| RC : | 22805 |
| RX : | 8470 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/17/2007 |
| Date of Expiry : | 5/16/2017 |
| Remarks : |