| Name Of the Firm : | Kumareswar Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 988/4367, Kh. No- 1097/125, At- Indipur, Via- Beraboi, Dist-Puri |
| RP Name : | Sri Santosh Ku. Mohapatra |
| Registration Number : | 16250/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Smt. Baidehi Sahoo |
| R : | 23184 |
| RC : | 23185 |
| RX : | 8659 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/17/2007 |
| Date of Expiry : | 10/12/2017 |
| Remarks : |