| Name Of the Firm : | Sri Jagannath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Ward No. 13, Circle No. 02, At/P.O.- Hinjilicut |
| RP Name : | Pravat Panigrahi |
| Registration Number : | 22213 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Tapas Kumar Sahu |
| R : | SLGAII-465 |
| RC : | SLGAII-466 |
| RX : | SLGAII-232 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |