| Name Of the Firm : | Shailabala Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1085, Kh. No-71, C.T Road,puri |
| RP Name : | Sri Prasant Ku. Swain |
| Registration Number : | 22521 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Pradip Ku. Parida |
| R : | 24838 |
| RC : | 24839 |
| RX : | 9478 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/7/2009 |
| Date of Expiry : | 10/6/2014 |
| Remarks : |