| Name Of the Firm : | Jaya Mahavir Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 133/1035, At/Po- Sidha Mahavir,Puri-2 |
| RP Name : | Sri Dilen Jeeban Mohanty |
| Registration Number : | 8875/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Jayanta Prasad Dash |
| R : | 14048 |
| RC : | 14049 |
| RX : | 4242 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/30/1999 |
| Date of Expiry : | 12/31/2012 |
| Remarks : |