| Name Of the Firm : | Suprita Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. no 956, Kh. No 314, At/Po- Muktapur, Dist- Khurda |
| RP Name : | Sri Gopal Krushna Das |
| Registration Number : | 11331/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Gopal Krushna Das |
| R : | KH 26953 |
| RC : | KH 26954 |
| RX : | KH 10491 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/16/2011 |
| Date of Expiry : | 11/15/2016 |
| Remarks : |