| Name Of the Firm : | Jayashree Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Chhapulia, Dist:Bhadrak Plot No.1232, Khata No.776/1314 |
| RP Name : | Sri Biraja Sankar Behera |
| Registration Number : | 11031 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Jyotshnarani Das. |
| R : | BH-21085/R |
| RC : | BH-21086/RC |
| RX : | BH-7606/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/1/2005 |
| Date of Expiry : | 6/30/2015 |
| Remarks : | C/R Not Issued |