| Name Of the Firm : | Susila Medical store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Room no-24, Atheletic Association Market,puri-2 |
| RP Name : | Sri Gopinth Sabat |
| Registration Number : | 12901 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Smt. Sushila sabat & gopinth sabat |
| R : | 17082 |
| RC : | 17083 |
| RX : | 5725 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/7/2002 |
| Date of Expiry : | 8/6/2017 |
| Remarks : |