| Name Of the Firm : | Nigam Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-2585,Kh.No-1506,At-Balanga Bazar,Puri |
| RP Name : | Jyoti Ranjan Pati |
| Registration Number : | 21123/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Subash Patra |
| R : | 23126 |
| RC : | 23127 |
| RX : | 8630 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/6/2007 |
| Date of Expiry : | 10/5/2017 |
| Remarks : |