| Name Of the Firm : | Jay Guru Prusty Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Kabatabandha |
| RP Name : | Satya Ranjan Prusty |
| Registration Number : | 10709 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Satya Ranjan Prusty |
| R : | 19148 |
| RC : | 191489 |
| RX : | 6689 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/29/2003 |
| Date of Expiry : | 9/28/2013 |
| Remarks : |