| Name Of the Firm : | Jay Shree Ram Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-3968, Kh. No-50, At/PO- Sukal,Puri |
| RP Name : | Sri Manas Ranjan Nath |
| Registration Number : | 15753/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Ramesh Kumar Sahoo |
| R : | 23444 |
| RC : | 23445 |
| RX : | 8786 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/14/2008 |
| Date of Expiry : | 1/13/2018 |
| Remarks : |