| Name Of the Firm : | Shree Jagannath Medicine Store |
| Zone : | CENTRAL |
| Range : | CUTTACK-II |
| Police Station : | |
| Address : | At-Plot no-360, KhAta no-322,Ganarba,po-Bhotimunda,,ctc |
| RP Name : | Sri Ananta Kumar Moharana |
| Registration Number : | 20293/OPC |
| Competent Person : | |
| Qualification : | D.PHARMA |
| Name of the Proprietor : | Sri Ananta Kumar Moharana |
| R : | 27903 |
| RC : | 27904 |
| RX : | 10964 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/3/2012 |
| Date of Expiry : | 12/2/2017 |
| Remarks : |