| Name Of the Firm : | Mama Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-879, Kh. No-847, At/Po-Sukal,Dist-Puri |
| RP Name : | Sri Prasanta Ku. Biswal |
| Registration Number : | 10498/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Surath Pradhan |
| R : | 14086 |
| RC : | 14087 |
| RX : | 4261 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/22/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |