| Name Of the Firm : | Mousumi Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 398, Khata No- 258, At- Mahulpada, Via-Duajhar, po- Duajhar |
| RP Name : | Hrudaya Ranjan Pati |
| Registration Number : | 17262 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Madhusudan Sa |
| R : | SL-NU-4353R |
| RC : | SL-NU-4354Rc |
| RX : | SL-NU-4355Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/7/2008 |
| Date of Expiry : | 8/6/2013 |
| Remarks : |