| Name Of the Firm : | Jayaguru Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Ichhapur, Dist:Bhadrak Plot No.2981, Khata No.47 |
| RP Name : | Sri Harekrushna Dhal |
| Registration Number : | 17590(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Harekrishna Mohanty. |
| R : | BH-20799/R |
| RC : | BH-20800/RC |
| RX : | BH-7463/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 3/16/2005 |
| Date of Expiry : | 3/15/2015 |
| Remarks : | C/R Not Issued |