| Name Of the Firm : | Sri. Jagannath Medicine Store |
| Zone : | CENTRAL |
| Range : | CUTTACK-II |
| Police Station : | |
| Address : | At/-ORTI, P.o-Baghuni, Plot no.-1247, KhAta no.-554/17, Ctc |
| RP Name : | Rudra Prasanna Swain |
| Registration Number : | 5625/OPC |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri. Rudra Prasanna Swain |
| R : | 28579 |
| RC : | 28580 |
| RX : | 11302 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/21/2013 |
| Date of Expiry : | 8/20/2018 |
| Remarks : |