| Name Of the Firm : | Sree Jagannath Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-221,Kh No-72,Baliput,Puri |
| RP Name : | Sri Jagannath Mohapatra |
| Registration Number : | 10472/OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Sri Jagannath Mohapatra |
| R : | 26161 |
| RC : | 26162 |
| RX : | 10106 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/7/2011 |
| Date of Expiry : | 2/6/2016 |
| Remarks : |