| Name Of the Firm : | Lord Jagannath Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-330, Shop No-1, Lingipur IGH Colony, BBSR |
| RP Name : | K Manas Ku Patra |
| Registration Number : | 26937/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dr. Rebati Kumari Das |
| R : | 26937 |
| RC : | 26938 |
| RX : | 10438 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/1/2011 |
| Date of Expiry : | 11/15/2016 |
| Remarks : |