| Name Of the Firm : | Sri Jagannath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 57, Assmt: No. 823, Ward No. 10, At/P.O.- Beguniapada |
| RP Name : | K. Rabindra Kumar Senapati |
| Registration Number : | 8320 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | K. Rabindra Kumar Senapati |
| R : | GA-9296 |
| RC : | GA-9297 |
| RX : | GA-1876 |
| RR : | |
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| Date of Issue : | |
| Date of Expiry : | |
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