| Name Of the Firm : | Shree JagannathMedicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Alipur, P.O.- Ramachandrapur |
| RP Name : | Bishnu Ch. Jena |
| Registration Number : | 1342 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Radha Madhab Jena |
| R : | 5193 |
| RC : | 5194 |
| RX : | 92 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/27/1987 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |