| Name Of the Firm : | New Sri Jagannath Medicine Store |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.1025 , Khata No.213 , At- PO- PS- Raghunathpur, Dist-Jagatsinghpur |
| RP Name : | Swayam Prakash Dash |
| Registration Number : | 13056 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Swayam Prakash Dash |
| R : | 20205 |
| RC : | 20206 |
| RX : | 7164 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2011.07.15 |
| Date of Expiry : | 2016.07.14 |
| Remarks : |