| Name Of the Firm : | Nirupama Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-173,K.No-20/2003,At- Matiapada Square,Near Nrusingha Temple,Puri |
| RP Name : | Sri Bijaya Kumar Behera |
| Registration Number : | 12904/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Smt. Nirupama Routroy |
| R : | 19122 |
| RC : | 19123 |
| RX : | 6676 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/24/2003 |
| Date of Expiry : | 9/23/2013 |
| Remarks : |