| Name Of the Firm : | Shree Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Sitaleswar, Jajpur Town |
| RP Name : | Chinmya Kumar Behera |
| Registration Number : | 18471 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Surath Chandra Nath |
| R : | 25080 |
| RC : | 25081 |
| RX : | 9598 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/8/2010 |
| Date of Expiry : | 2/7/2015 |
| Remarks : |