| Name Of the Firm : | Shree Jagannath Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Sathipur, P.O.- Ranigada |
| RP Name : | Ratikanta Mishra |
| Registration Number : | 20774 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sudarsan Mishra |
| R : | 26921 |
| RC : | 26922 |
| RX : | 10475 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/2/2011 |
| Date of Expiry : | 11/1/2016 |
| Remarks : |