| Name Of the Firm : | Jagannath Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Singhapur |
| RP Name : | Braja Kishore Rana |
| Registration Number : | 17657 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Tarun Kumar Nayak |
| R : | 13158 |
| RC : | 13159 |
| RX : | 3795 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/22/1997 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |