| Name Of the Firm : | Jay Jagannath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.B.D Pur,Via.Bargaon,Plot No.863/1410,Kh.No.7 |
| RP Name : | Debasis Panda |
| Registration Number : | 17282 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Laxmikanta Swain |
| R : | 613 |
| RC : | 614 |
| RX : | 305 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1999.04.16 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |