| Name Of the Firm : | Subham Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot NO- 367, Kh. No- 157, At/po- Amareswar,Ps- Nimapara,Puri |
| RP Name : | Sri Pankaja lenka |
| Registration Number : | 19477/OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Sri Sumanta Ku. Sahoo |
| R : | 24322 |
| RC : | 24323 |
| RX : | 9220 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/6/2009 |
| Date of Expiry : | 1/5/2014 |
| Remarks : |