| Name Of the Firm : | Ram Balaram Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl No- 2041,Kh. No- 691, At- Astaranga, Dist-puri |
| RP Name : | Prasanta kumar Nayak |
| Registration Number : | 24897/OPC |
| Competent Person : | - |
| Qualification : | B.Pharma |
| Name of the Proprietor : | Sri sasir Kanta Mohanty |
| R : | 15458 |
| RC : | 15459 |
| RX : | 4945 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/5/2001 |
| Date of Expiry : | 12/4/2016 |
| Remarks : |