| Name Of the Firm : | Gauri Sankar Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-211, Kh. No-10, At-Haripur, Puri |
| RP Name : | Sri Shyam Sundear Patra |
| Registration Number : | 18403/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Balaram Nayak |
| R : | 23058 |
| RC : | 23059 |
| RX : | 8596 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/25/2007 |
| Date of Expiry : | 9/24/2017 |
| Remarks : |