| Name Of the Firm : | Jay Maa Ambey Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 2805, Khata No- 41, At/po- baragaon |
| RP Name : | Rabindranarayan Mohanty |
| Registration Number : | 13374 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Rajendra Sa |
| R : | SL-NU-3995R |
| RC : | SL-NU-3996Rc |
| RX : | SL-NU-3997Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/6/2007 |
| Date of Expiry : | 11/5/2012 |
| Remarks : | Applied for Renewal, recommendation Lt. No- 1022/ 29.11.2012 |