| Name Of the Firm : | Mamta Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Holding No- 193 (3),Ward No-12 At- Delanga Station Bazar,Po-Berboi,Puri |
| RP Name : | Sri Rajat Ku. Bhera |
| Registration Number : | 17190 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sarit Ku. Mohanty |
| R : | 2556 |
| RC : | 2557 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/4/1991 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |