| Name Of the Firm : | Maa Bhagabati Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-160,K.No-281,Heragohiri Sahi,Kundheibenta Sahi,Puri |
| RP Name : | Sri Smruti Ranjan Prusty |
| Registration Number : | 17101/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Nilambar Sarangi |
| R : | 14714 |
| RC : | 14715 |
| RX : | 4574 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/14/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |