| Name Of the Firm : | Jagannath Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-626, Kh. No-26, At- Satapadagada,Puri |
| RP Name : | Sri Dillip Kumar Sethy. |
| Registration Number : | 12041/OPC |
| Competent Person : | - |
| Qualification : | D.Phrama |
| Name of the Proprietor : | Sri Madhusudan Mandal |
| R : | 23540 |
| RC : | 23541 |
| RX : | 8823 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/19/2008 |
| Date of Expiry : | 2/18/2018 |
| Remarks : |