| Name Of the Firm : | Mamata Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 315, Kh. nO-65, Shop No-01, Balagandi,Puri |
| RP Name : | Sri Rasmiranjan Mohanty |
| Registration Number : | 11402 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Bijaya Ku. Rath |
| R : | 27431 |
| RC : | 27432 |
| RX : | 10728 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/12/2012 |
| Date of Expiry : | 6/11/2017 |
| Remarks : |