| Name Of the Firm : | Digambareswar Medicine store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 629/929, Kh No- 221/206, Room No- 1, At- Kakatpur,Dist-Puri |
| RP Name : | Sri Susil Kumar Jena |
| Registration Number : | 25401/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Bishnu Charan Behera |
| R : | 28293 |
| RC : | 28294 |
| RX : | 1159 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/29/2013 |
| Date of Expiry : | 5/28/2018 |
| Remarks : |