| Name Of the Firm : | Jagannath Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 1216, Khata No- 380/132, Thana No- 36, At/po- Bhuliasikuan, via- Khariar |
| RP Name : | Gobinda Sethy |
| Registration Number : | 19150 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Promod Kumar Meher |
| R : | SL-NU-4344R |
| RC : | SL-NU-4345Rc |
| RX : | SL-NU-4346Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/6/2008 |
| Date of Expiry : | 8/5/2013 |
| Remarks : |