| Name Of the Firm : | sangam Medicine store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-35, Kh. No-31,Heragohiri sahi,puri |
| RP Name : | Sri Bikash Mohapatra |
| Registration Number : | 22753 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Bikash Mohapatra |
| R : | 19942 |
| RC : | 19943 |
| RX : | 7031 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/17/2004 |
| Date of Expiry : | 6/14/2016 |
| Remarks : |