| Name Of the Firm : | Matrukrupa Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 759/2860, Kh. No- 521/1034, At- Baurisahi, Gopalpur, dist- Puri |
| RP Name : | Sri Abhisek Mohanty |
| Registration Number : | 23239 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Arabinda Pati |
| R : | 27119 |
| RC : | 27120 |
| RX : | 10572 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/2/2012 |
| Date of Expiry : | 1/1/2017 |
| Remarks : |