| Name Of the Firm : | Mohapatra Medical Strore |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Hold No-1036,Circle No-VI,At-Balisahi,Dist-Puri |
| RP Name : | Sri Chittaranjan Pradhan |
| Registration Number : | 8963/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sashi Bhusan Mahapatra |
| R : | 12795 |
| RC : | 12796 |
| RX : | 3614 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/11/1997 |
| Date of Expiry : | 8/25/2015 |
| Remarks : | Applied for change of premises w.e.f dt 26.08.10 |