| Name Of the Firm : | Shree Jagannath Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Bachhol |
| RP Name : | Mandakini Das |
| Registration Number : | 16622 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sanjaya Kumar Pati |
| R : | 24770 |
| RC : | 24771 |
| RX : | 9444 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/26/2008 |
| Date of Expiry : | 8/25/2014 |
| Remarks : |