| Name Of the Firm : | Subhasis Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot no-781,Chhaitana Bazar,Puri |
| RP Name : | Sri Khetramohan Patnaik |
| Registration Number : | 8605/OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Sri Khetramohan Patnaik |
| R : | 3975 |
| RC : | 3976 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/5/1980 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |