| Name Of the Firm : | Sree Jagannath Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Dehudi Anandapur, Dist:Bhadrak Plot No.120, Khata No.64 |
| RP Name : | Sri Sitesh Mohan Ray |
| Registration Number : | 12659 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Surendra Ku. Sahoo. |
| R : | BH-20715/R |
| RC : | BH-20716/RC |
| RX : | BH-7421/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/14/2005 |
| Date of Expiry : | 2/23/2015 |
| Remarks : | C/R Not Issued |