| Name Of the Firm : | Sri Jagannath Medicine Store |
| Zone : | CENTRAL |
| Range : | CUTTACK-II |
| Police Station : | |
| Address : | GopinAthpur, P.S.-JagAtpur, Ctc. |
| RP Name : | Pradyumna Kumar Satpathy, |
| Registration Number : | 8119/OPC |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Pradyumna Kumar Satpathy |
| R : | 18286 |
| RC : | 18287 |
| RX : | 5871 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/15/2002 |
| Date of Expiry : | 11/19/2017 |
| Remarks : | C/R Applied upto, |