| Name Of the Firm : | Lissa Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | plot No- 769, Kh. No- 84, At- Sunamukhi, Po- Bhubanpura,Dist-Puri |
| RP Name : | Sri Prasantananda Pattnaik |
| Registration Number : | 15184/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Prasanta Nanda Pattanaik |
| R : | 23312 |
| RC : | 23313 |
| RX : | 8722 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/10/2007 |
| Date of Expiry : | 12/9/2017 |
| Remarks : |