| Name Of the Firm : | Jagadamba Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Municipality Stall No.- 06, At.- Laxmi Bazar, Bhawanipatna, Kalahandi |
| RP Name : | Sanjaya Kumar Sahoo |
| Registration Number : | 6794 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Ramesh Kumar Agrawal |
| R : | 9596 |
| RC : | 9597 |
| RX : | |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/1/1995 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R |