| Name Of the Firm : | Jagannath Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Holding No- 788, At- Swargadwar, Balisahi,Puri |
| RP Name : | Sri Shantanu Kumar Sahoo |
| Registration Number : | 22415/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sanjaya Ku. Patra |
| R : | 19110 |
| RC : | 19111 |
| RX : | 6671 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/22/2003 |
| Date of Expiry : | 9/21/2013 |
| Remarks : |