| Name Of the Firm : | Nigam Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-3/1635 ,Kh No- 74/1, Red cross road,Puri |
| RP Name : | Snehasis Dash |
| Registration Number : | 15252/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Dillip ku. Bal |
| R : | 9770 |
| RC : | 9771 |
| RX : | 2102 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/27/1992 |
| Date of Expiry : | 12/28/2017 |
| Remarks : | applied for change premise w.e.f dt 29.12.12 |