| Name Of the Firm : | Sree Jagannath Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Sarai Chudakuti, Po:Chudakuti, Dist: Bhadrak Plot No.168, Khata No.114 |
| RP Name : | Sri Himansu Sekhar Roul |
| Registration Number : | 11797(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sudhansu Sekhar Roul. |
| R : | BH-12062/R |
| RC : | BH-12063/RC |
| RX : | BH-3248/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/24/1996 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |