| Name Of the Firm : | Jagannath Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1147, Khata No.- 379, Madanpur, Kalahandi |
| RP Name : | Sri Laxmi Charan nayak |
| Registration Number : | 14963 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sudarsan padhi |
| R : | 1951 |
| RC : | 1952 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 3/3/2004 |
| Date of Expiry : | 3/2/2014 |
| Remarks : | Applied for C/R |