| Name Of the Firm : | Puspa Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 457, Khata No- 407, At/po- Komna |
| RP Name : | Sanjeev Kumar Das |
| Registration Number : | 19864 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Bhagaban Panigrahi |
| R : | SL-NU-4269R |
| RC : | SL-NU-4270Rc |
| RX : | SL-NU-4271Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/19/2008 |
| Date of Expiry : | 4/18/2013 |
| Remarks : | Applied for Renewal, recommendation Lt. No- 660/ 06.06.2013 |