| Name Of the Firm : | Maa Gayatri Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl No-314, Kh No-905, At- Panidola, Khorapada, Pipili,Dist-Puri |
| RP Name : | Sri Sarata Ku Pattnaik |
| Registration Number : | 19455 /OPC |
| Competent Person : | - |
| Qualification : | B.pharma |
| Name of the Proprietor : | Sri Dillip Bhatta |
| R : | 26981 |
| RC : | 26982 |
| RX : | 10505 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/28/2011 |
| Date of Expiry : | 11/27/2016 |
| Remarks : |