| Name Of the Firm : | Sri Jagannath Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Dhusuri, Dist:Bhadrak Plot No.1798, Khata No.110 |
| RP Name : | Sri Rajanikanta Panda |
| Registration Number : | 8265 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Rajanikanta Panda |
| R : | BH-21730/R |
| RC : | BH-21731/RC |
| RX : | BH-7928/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/3/2006 |
| Date of Expiry : | 2/2/2016 |
| Remarks : | C/R Not Issued |