| Name Of the Firm : | Prusty Medical Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po-Odagaon Dist-Nayagarh |
| RP Name : | Rabindranath Prusty |
| Registration Number : | 6122 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Premalata Prusty |
| R : | 1498 |
| RC : | 1499 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/24/2012 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |