| Name Of the Firm : | Maa Jageswari Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl No- 3858, Kh. No-613,At- Algum,Via- sakhigopal,Dist-Puri |
| RP Name : | Sri Namasya Kumar Mohanty |
| Registration Number : | 13176 /OPC |
| Competent Person : | - |
| Qualification : | D.Phrama |
| Name of the Proprietor : | Sri Namasya Kumar Mohanty |
| R : | 26791 |
| RC : | 26792 |
| RX : | 10412 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/19/2011 |
| Date of Expiry : | 9/18/2016 |
| Remarks : |