| Name Of the Firm : | maa Bhagabati Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 2487,Kh. No-888, At/Po- Balanga,Puri |
| RP Name : | Sri Biranchi Narayan Rath |
| Registration Number : | 10242/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Biranchi Narayan Rath |
| R : | 20743 |
| RC : | 20744 |
| RX : | 7435 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/2/2005 |
| Date of Expiry : | 3/1/2015 |
| Remarks : |