| Name Of the Firm : | Jambubati Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 774, Khata No.- 108, At/Po.- Baldiamal, Kalahandi |
| RP Name : | Sri Siddhartha Shankar Thakur |
| Registration Number : | 25776 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Kalia Krishna Meher |
| R : | 6986 |
| RC : | 6987 |
| RX : | 6988 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2013.03.07 |
| Date of Expiry : | 2018.03.06 |
| Remarks : | G.D.L |