| Name Of the Firm : | Kunjalata Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1170, Kh. NO-678, At- Mangalpur(Uttarabada), Pipili, Dist-Puri |
| RP Name : | Sri Susil Kumar Sahoo |
| Registration Number : | 22469 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Anita Rath |
| R : | 26639 |
| RC : | 26640 |
| RX : | 10339 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/18/2011 |
| Date of Expiry : | 7/17/2016 |
| Remarks : |