| Name Of the Firm : | Jatish Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1382, Khata No.- 261, Farang |
| RP Name : | Miss Sasmita Nayak |
| Registration Number : | 22148 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Jatish Ghee |
| R : | 5761 |
| RC : | 5762 |
| RX : | 5763 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/18/2011 |
| Date of Expiry : | 1/17/2016 |
| Remarks : | G.D.L and R.P Change w.e.f 02.07.2013 |