| Name Of the Firm : | Shree Jagadamba Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Nayabazar, Po/Dist: Bhadrak N.A.C. Building, Room No. 8 |
| RP Name : | Sri Arjun Charan Mallik |
| Registration Number : | 2775(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Debi Prasad Mohanty |
| R : | BA-7816/R |
| RC : | BA-7817/RC |
| RX : | BA-1232/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/1/1991 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Applied |