| Name Of the Firm : | Nishamani Medicine Stiore, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl.No.188/1020,KH.No.232/83,At/Po-Chilikanuapada,Dist.Puri |
| RP Name : | Sri Rashmi Ranjan Paikaraya |
| Registration Number : | 12602/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Laxmidhar Paikaray |
| R : | 27835 |
| RC : | 27836 |
| RX : | 10930 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/25/2012 |
| Date of Expiry : | 10/24/2017 |
| Remarks : |