| Name Of the Firm : | Prativa Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 167, Kh. No-158, Balighat,puri |
| RP Name : | Alankar Nanda |
| Registration Number : | 25664/OPC |
| Competent Person : | - |
| Qualification : | B.Pharma |
| Name of the Proprietor : | Smt. Manjushree Mohanty |
| R : | 23152 |
| RC : | 23153 |
| RX : | 8643 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/11/2007 |
| Date of Expiry : | 10/10/2017 |
| Remarks : |