| Name Of the Firm : | Jayadev Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 352 & 353, Khata No. 38, At: Baniabadi, P.O.- Sumandala |
| RP Name : | Sugyani Kumari Patro |
| Registration Number : | 23222 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Jayadev Barik |
| R : | SLGAII-1206 |
| RC : | SLGAII-1207 |
| RX : | SLGAII-1208 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |