| Name Of the Firm : | Matrukrupa Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1500, Kh. No-637, At- Kakatpur,Dist-Puri |
| RP Name : | Sri Srichandan Mallick |
| Registration Number : | 18971 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Srichandan Mallick |
| R : | 23416 |
| RC : | 234 |
| RX : | 8773 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/8/2008 |
| Date of Expiry : | 1/7/2013 |
| Remarks : |