| Name Of the Firm : | Jaya Maa Tarini Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 515, Kh No- 03,Kajipatna, Po- Olikana, Dist-Puri |
| RP Name : | Itishree Pradhan |
| Registration Number : | 25072 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Ajaya Kumar Jena |
| R : | 27311 |
| RC : | 27312 |
| RX : | 10668 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/3/2012 |
| Date of Expiry : | 5/2/2017 |
| Remarks : |