| Name Of the Firm : | Bisu Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 92,98, Khata No-29, Room No-1, At- Gadaradanga, Dist-Puri |
| RP Name : | Biswamber Baliarsingh |
| Registration Number : | 17074 /OPC |
| Competent Person : | - |
| Qualification : | D.pharm |
| Name of the Proprietor : | Biswamber Baliarsingh |
| R : | 27621 |
| RC : | 27622 |
| RX : | 10823 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/23/2012 |
| Date of Expiry : | 8/22/2017 |
| Remarks : |