| Name Of the Firm : | Balukeswar Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 1423, Kh No- 371, At/Po-Khajuria, Puri |
| RP Name : | Sri Subhransu Sekhar Sahoo |
| Registration Number : | 20089/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sindhu Sahoo |
| R : | 24174 |
| RC : | 24175 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/6/2008 |
| Date of Expiry : | 11/5/2013 |
| Remarks : |