| Name Of the Firm : | Jayadurga Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 541, Khata No.- 7, At/Po.- Ladugaon, Kalahandi |
| RP Name : | Sri Samir Kumar Padhi |
| Registration Number : | 11799 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Samir Kumar Padhi |
| R : | 4425 |
| RC : | 4426 |
| RX : | 4427 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 9/2/2008 |
| Date of Expiry : | 9/1/2013 |
| Remarks : | G.D.L |