| Name Of the Firm : | Jayaguru Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 882, Khata No- 1024, At- Alish, Po- Sukal, Dist-Puri |
| RP Name : | Sri Dinakrushna Sasamal |
| Registration Number : | 19763/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Dipak Kumar Nath |
| R : | 25112 |
| RC : | 25113 |
| RX : | 9614 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/17/2010 |
| Date of Expiry : | 2/16/2015 |
| Remarks : |