| Name Of the Firm : | Jagannath Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/P.O : Bhandaripokhari, Dist : Bhadrak, Plot No.195/422, Khata No.109/9 |
| RP Name : | Sri Chinmay Ku. Mishra |
| Registration Number : | 12489(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Nirakar Mohapatra |
| R : | BH-17030/R |
| RC : | BH-17031/RC |
| RX : | BH-5700/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/22/2002 |
| Date of Expiry : | 7/21/2017 |
| Remarks : | C/R Not Issued |