| Name Of the Firm : | Jagannath Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 2823, Kh. No-106, At- Nimapara Hat Bazar,Puri |
| RP Name : | Sri Susil Kumar Mohapatra |
| Registration Number : | 9194/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Partha Sarathi Pradhan |
| R : | 20067 |
| RC : | 20068 |
| RX : | 7094 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/17/2004 |
| Date of Expiry : | 3/27/2014 |
| Remarks : |