| Name Of the Firm : | Puspa Medicine Store |
| Zone : | Central Zone |
| Range : | Jagatsinghpur Range |
| Police Station : | |
| Address : | Plot No.349/1068 , Khata No.496/57 , At-Sandhapur , PO-PS-Kujang , Dist-Jagatsinghpur |
| RP Name : | Pradeep Kumar Das |
| Registration Number : | 6557 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Pusparani Behera |
| R : | 29141 |
| RC : | 29142 |
| RX : | 11584 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2014.02.07 |
| Date of Expiry : | 2019.02.06 |
| Remarks : |