| Name Of the Firm : | Matrukrupa Medical Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No 189, Kh. No. 125, At/Po- Chandeswar, Ps- Tangi, Dist- Khurda |
| RP Name : | Sri Soumya Ranjan Pradhan |
| Registration Number : | 20398/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Soumya Ranjan Pradhan |
| R : | KH 23960 |
| RC : | KH 23961 |
| RX : | KH 9042 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/1/2008 |
| Date of Expiry : | 8/31/2013 |
| Remarks : |