| Name Of the Firm : | Jagadamba Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Balichandrapur |
| RP Name : | Santosh Ku. Sahoo |
| Registration Number : | 22583 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suresh Chandra Sahoo |
| R : | 10083 |
| RC : | 10084 |
| RX : | 2256 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/8/1993 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |