| Name Of the Firm : | Maa Sarala MedicineStore. |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl.No.2858,Kh.No.711,At/Po.Jhampulakuda,Nimapara,Dist.Puri |
| RP Name : | Amrita Mohanty |
| Registration Number : | 25562/OPC |
| Competent Person : | - |
| Qualification : | B.pharma |
| Name of the Proprietor : | Sri Dipti Ranjan Nayak |
| R : | 27951 |
| RC : | 27952 |
| RX : | 10988 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/13/2012 |
| Date of Expiry : | 12/12/2017 |
| Remarks : |