| Name Of the Firm : | Shifa Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1192/1608,Kh.No-589/4,Pipili sasan,puri |
| RP Name : | Sarmista Nanda |
| Registration Number : | 25559/OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Munsi Ezaz Ali Khan |
| R : | 22201 |
| RC : | 22202 |
| RX : | 8136 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/14/2006 |
| Date of Expiry : | 8/13/2016 |
| Remarks : |