| Name Of the Firm : | Maa Dakshinakali Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 1195,Kh. No-187, At- Khajuria,Chhotpur,Puri |
| RP Name : | Sri Arkura Charan Pattanaik |
| Registration Number : | 15342/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Prahallad Pattanaik |
| R : | 15104 |
| RC : | 15105 |
| RX : | 4769 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/5/2000 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |