| Name Of the Firm : | Jagannath Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Kendupadar, Via: Nimina |
| RP Name : | B. Jagannath Patro |
| Registration Number : | 13534 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri B. Krishna Patro |
| R : | 4719 |
| RC : | 4720 |
| RX : | 4721 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.02.21 |
| Date of Expiry : | 2014.02.20 |
| Remarks : |