| Name Of the Firm : | Mizan Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 3309, Kh. No-1692, At- bhandaghar,Po- Rasulpur,Puri |
| RP Name : | Sri Angaraj Biswal |
| Registration Number : | 5552 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Anwarul Alam Khan |
| R : | 19580 |
| RC : | 19581 |
| RX : | 6851 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/6/2004 |
| Date of Expiry : | 2/5/2014 |
| Remarks : |