| Name Of the Firm : | Sri Jagannath Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.25 Khata No.223 AT-PO-Borikina PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Samir Kuamr Swain |
| Registration Number : | 13301 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Samir Kumar Swain |
| R : | 19616 |
| RC : | 19617 |
| RX : | 6869 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/13/2009 |
| Date of Expiry : | 2/12/2014 |
| Remarks : |