| Name Of the Firm : | Shree Jagannath Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Bilana, Po : Golagandapur, Dist : Bhadrak Plot No.4743, Khata No.1136 |
| RP Name : | Sri Manoranjan Mohapatra |
| Registration Number : | 6010(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sanjay Ku. Pati. |
| R : | BH-24080/R |
| RC : | BH-24081/RC |
| RX : | BH-9101/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/4/2008 |
| Date of Expiry : | 10/3/2013 |
| Remarks : | Up to date licence |