| Name Of the Firm : | Jagannath Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-14496,Word no-20,Station Road,Berhampur |
| RP Name : | Sri Kedar Krushna Sahu, |
| Registration Number : | 5434 (OPC) |
| Competent Person : | |
| Qualification : | D Pharm |
| Name of the Proprietor : | Sri Kedar Krushna Sahu |
| R : | GAI 4743 |
| RC : | GAI 4744 |
| RX : | GAI 4745 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.03.13 |
| Date of Expiry : | 2014.03.02 |
| Remarks : |