| Name Of the Firm : | Moon Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-113,kh No-314,Uppara Mali Sahi,Ps-Kumbharapada,Puri |
| RP Name : | Sri Udaya Ku. Prusty |
| Registration Number : | 18008/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Subal Charana Dhal |
| R : | 25473 |
| RC : | 25474 |
| RX : | 9794 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/7/2010 |
| Date of Expiry : | 6/6/2015 |
| Remarks : |