| Name Of the Firm : | Shree Jagannath Medical Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-234 & 235 Near Muncipal Hospital, Old Town |
| RP Name : | Sri Ambarish Sahoo. (w.e.f.09.07.12) |
| Registration Number : | 12084/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Pradeep ku Palatasingh |
| R : | 22918 |
| RC : | 22919 |
| RX : | 8526 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 7/10/2007 |
| Date of Expiry : | Applied for C/R 10-07-12 to 09-07-17 |
| Remarks : | Sent to Directorate for C/R with change of R.P. / L.No. 1359 dt. 26.11.12 |