| Name Of the Firm : | Mangala Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-883,khata no-17441/238,Asst no-13513,Word no-18At: NBS Road, BAM |
| RP Name : | Sri Deshabandhu Sahu |
| Registration Number : | 24425 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Smt. Sasmita Das |
| R : | GAI-6602 |
| RC : | GAI-6603 |
| RX : | GAI-6604 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2012.07.12 |
| Date of Expiry : | 2017.07.11 |
| Remarks : |