| Name Of the Firm : | Jay Sriram Medicine Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At-Banamalipur Patana (Pl.No-123, Khata.No-165 Dist-Nayagarh |
| RP Name : | Sri Pravas Kumar Sutar |
| Registration Number : | 21740 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Trinath Behera |
| R : | 26943 |
| RC : | 26944 |
| RX : | 10486 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/17/2011 |
| Date of Expiry : | 1/11/2016 |
| Remarks : |