| Name Of the Firm : | Jagadamba Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1069/2954, Khata No.- 524/248, Borda, Kalahandi |
| RP Name : | sri Dusmanta Kumar Jena |
| Registration Number : | 17879 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Santosh Kumar agrawal |
| R : | 2802 |
| RC : | 2803 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/15/2009 |
| Date of Expiry : | 1/14/2014 |
| Remarks : | G.D.L |