| Name Of the Firm : | Raja Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-978,Kh. No-593,At- Renghalo,puri |
| RP Name : | Sri Madan Mohan Nayak |
| Registration Number : | 20949/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Wasim Hossen Raja |
| R : | 24858 |
| RC : | 24859 |
| RX : | 9488 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/12/2009 |
| Date of Expiry : | 10/11/2014 |
| Remarks : |