| Name Of the Firm : | Jagannath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1401, Khata No. 397, At: Barida, P.O.- K. Barida |
| RP Name : | Uma Shankar Sahu |
| Registration Number : | 23032 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sanjay Kumar Panda |
| R : | SLGAII-3060 |
| RC : | SLGAII-3061 |
| RX : | SLGAII-3062 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |