| Name Of the Firm : | Hengula Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 721, Kh. No- 219, At- Raibidhar Chhak, PO- Bhandari Kuda , Via- Brahmagiri, Puri |
| RP Name : | Sri Dilip Ku. Pattanayak |
| Registration Number : | 9174(OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Dilip Ku. Pattanayak |
| R : | 13388 |
| RC : | 13389 |
| RX : | 3913 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/24/1998 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |