| Name Of the Firm : | Jay Guru Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No-539/694, Khata No.- 109/2, Ghantamal, Kalahandi |
| RP Name : | Miss Priyadarsini Ota |
| Registration Number : | 21011 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt. Binodini Swain |
| R : | 4991 |
| RC : | 4992 |
| RX : | 4993 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 9/7/2009 |
| Date of Expiry : | 9/6/2014 |
| Remarks : | G.D.L |