| Name Of the Firm : | Shree Jagannath Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.3033 Khata No.1148 AT-PO-Tarikund PS-Raghunaghpur DIST-Jagatsinghpur. |
| RP Name : | Rashmi Ranjan Behera |
| Registration Number : | 14746 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Rashmi Ranjan Behera |
| R : | 19961 |
| RC : | 19962 |
| RX : | 7041 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/21/2004 |
| Date of Expiry : | 6/20/2014 |
| Remarks : |