| Name Of the Firm : | J.K Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl No-667, Kh. No-58, At/Po- Kakatpur,Puri |
| RP Name : | Sri Bhabani Prasad Mishra |
| Registration Number : | 5715/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Mahendra Ku. Swain |
| R : | 20295 |
| RC : | 20296 |
| RX : | 7209 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/30/2004 |
| Date of Expiry : | 9/29/2014 |
| Remarks : |