| Name Of the Firm : | Jagannth Medical Store |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.1765/2426 , Khata No.755/326 , At-Talapada , PO-Rahama , PS-Tirtol , Dist-Jagatsinghpur |
| RP Name : | Pradipta Kumar Das |
| Registration Number : | 26591 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Babaji Charan Behera |
| R : | 29201 |
| RC : | 29201 |
| RX : | 11614 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2014.03.10 |
| Date of Expiry : | 2019.03.09 |
| Remarks : |