| Name Of the Firm : | Shree Jagannath Medicine Store, |
| Zone : | CENTRAL ZONE |
| Range : | CTC-III |
| Police Station : | |
| Address : | Ranihat Medical Road,Pl no-1896,Kh no-28,H no-223,W.no-23,SCB Medical Campus Cuttack |
| RP Name : | Bibhuti Prasad Khatua, |
| Registration Number : | 19971 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Susil Kumar Mohanty |
| R : | CU25795/R |
| RC : | CU25796/RC |
| RX : | CU9955/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/25/2010 |
| Date of Expiry : | 10/24/2015 |
| Remarks : |