| Name Of the Firm : | Jaya Durga Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1954 Khata No.653 AT-Gangadahat PO-Deriki PS-Naugaon DIST-Jagatsinghpur. |
| RP Name : | jayashree Mohanty |
| Registration Number : | 13984 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Banchit Pattanaik |
| R : | 23798 |
| RC : | 23799 |
| RX : | 8961 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/21/2008 |
| Date of Expiry : | 7/20/2013 |
| Remarks : |