| Name Of the Firm : | Jay Sankar Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Kabatabandha |
| RP Name : | Lalatendu Prasad |
| Registration Number : | 12507 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Jagannath Mohanty |
| R : | 2851 |
| RC : | 2852 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/25/1975 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |