| Name Of the Firm : | Jagannath Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.678 Khata No.683/8 AT-Sanara PO-Nalibar PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Bichitra Kumar Swain |
| Registration Number : | 17865 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Manjulata Nayak |
| R : | 23792 |
| RC : | 23793 |
| RX : | 8958 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/16/2008 |
| Date of Expiry : | 7/17/2013 |
| Remarks : |