| Name Of the Firm : | Malati Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-2670,Kh No- 303,At/Po- Kakatpur,Puri |
| RP Name : | Sri Pramod Ku. Rout |
| Registration Number : | 5067/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Prafulla Ku. Rout |
| R : | 8666 |
| RC : | 8665 |
| RX : | 1578 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/23/1990 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |