| Name Of the Firm : | Jay Jagannath Medical Agency |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.765 , Khata No.95 , At-Bijipur , PO-Sankheswar , PS-Tirtol , Dist-Jagatsinghpur |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Rajesh Kumar Sahu |
| Qualification : | +2 Commerce |
| Name of the Proprietor : | Rajesh Kumar Sahu |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 18198 |
| WC : | 18199 |
| WX : | 6438 |
| Date of Issue : | 2014.1.7 |
| Date of Expiry : | 2019.1.06 |
| Remarks : |