| Name Of the Firm : | Maa Jagulai Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Rambag |
| RP Name : | Jyoti Ranjan Mallick |
| Registration Number : | 16378 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Prakash Chandra Jena |
| R : | 20871 |
| RC : | 20872 |
| RX : | 7499 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/7/2005 |
| Date of Expiry : | 4/6/2015 |
| Remarks : | C/R Recommended |