| Name Of the Firm : | JAGANNATH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | STATION ROAD, RENGALI, SAMBALPUR |
| RP Name : | BRJAKISHOR MISHRA |
| Registration Number : | 1430 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | BRAJA KISHOR MISHRA |
| R : | 1586 |
| RC : | 1587 |
| RX : | 1588 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/25/2010 |
| Date of Expiry : | 2/24/2015 |
| Remarks : |