| Name Of the Firm : | Shree Jagannath Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Padyutnagar, Dosinga, Dist: Bhadrak Plot No.274, Khata No.125/118 |
| RP Name : | Sri Nisanta Kumar Mandal |
| Registration Number : | 16332 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Babudulal Mandal. |
| R : | BH-24364/R |
| RC : | BH-24365/RC |
| RX : | BH-9241/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/27/2009 |
| Date of Expiry : | 1/26/2014 |
| Remarks : | Up to date Licence |