| Name Of the Firm : | Maa Khadgeswari Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 3403, Kh. No- 65, At- Gop, Dist-Puri |
| RP Name : | Sri Rajendra Behera |
| Registration Number : | 22272/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Prasanta Ku. Mekap |
| R : | 25603 |
| RC : | 25604 |
| RX : | 9859 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/14/2010 |
| Date of Expiry : | 7/13/2015 |
| Remarks : |