| Name Of the Firm : | Maa Purneswari medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 629, Kh. No-105, at/Po- Kakatpur Medical Sqaure, Dist-Puri |
| RP Name : | Sri Mrutunjaya Pradhan |
| Registration Number : | 11080/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Mrutunjaya Pradhan |
| R : | 19482 |
| RC : | 19483 |
| RX : | 6802 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/7/2004 |
| Date of Expiry : | 1/5/2014 |
| Remarks : |