| Name Of the Firm : | Mamu Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 3720, Kh. No- 6, At/Po- Block Chhak,Kakatpur, Dist-Puri |
| RP Name : | Sri Bibekananda Jena |
| Registration Number : | 20368 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Ranjan Khuntia |
| R : | 23758 |
| RC : | 23759 |
| RX : | 8942 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/11/2008 |
| Date of Expiry : | 7/10/2013 |
| Remarks : |