| Name Of the Firm : | Sri jagannath medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | AT-C.H.C Campus, Manijanga PO-Manijanga PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | jenamani Surendra Kumar Ray Jeevan Kumar Samantray |
| Registration Number : | 2269 8561 |
| Competent Person : | |
| Qualification : | D.Pharma D.Pharma |
| Name of the Proprietor : | jenamani Surendra Kumar Ray |
| R : | 1889 |
| RC : | 1890 |
| RX : | 10290 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/16/1972 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |