| Name Of the Firm : | Shree Guru Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Holding No-12/1, Circle No-III, At/Po-Gourabarisahi,Bidhaba Ashram Chhak,Puri |
| RP Name : | Sri Chandan Kumar Prusti |
| Registration Number : | 19267 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Chandan Kumar Prusti |
| R : | 23844 |
| RC : | 23845 |
| RX : | 8984 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/7/2008 |
| Date of Expiry : | 8/6/2013 |
| Remarks : |