| Name Of the Firm : | Shree Jagannath Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-40, Kh. No-56, Kanas, Golabazar,Puri |
| RP Name : | Sri Dillip ku. Das |
| Registration Number : | 10076/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Dillip ku. Das |
| R : | 21380 |
| RC : | 21381 |
| RX : | 7754 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/1/2005 |
| Date of Expiry : | 9/30/2015 |
| Remarks : |