| Name Of the Firm : | Shree jagannath Medical store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 753, Kh.No- 882, Sakhigopal gate bazar, puri |
| RP Name : | Sri Rajat Ku. Mohapatra |
| Registration Number : | 15185/OPC |
| Competent Person : | - |
| Qualification : | D.phrama |
| Name of the Proprietor : | Sri Jagannath Behera |
| R : | 21039 |
| RC : | 21040 |
| RX : | 7583 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/18/2005 |
| Date of Expiry : | 6/17/2015 |
| Remarks : |