| Name Of the Firm : | Dash Mahapatra Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot no- 208, Kh. nO- 127, At- Shiketra Vihar, Near Level Crossing, puri |
| RP Name : | Sri Ajodhanath Satapathy |
| Registration Number : | 20936 /OPC |
| Competent Person : | - |
| Qualification : | D.pharm |
| Name of the Proprietor : | Sri Sangram Keshari Das |
| R : | 27703 |
| RC : | 27704 |
| RX : | 10864 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/29/2012 |
| Date of Expiry : | 9/28/2017 |
| Remarks : |