| Name Of the Firm : | Shanti Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Hold No-798,At/po- Rantakar road, Balinoliasahi,puri |
| RP Name : | Sri Om prakash Dasmohapatra |
| Registration Number : | 14690/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Rabi Narayan Mohanty |
| R : | 23766 |
| RC : | 23767 |
| RX : | 8945 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/11/2008 |
| Date of Expiry : | 7/10/2013 |
| Remarks : |