| Name Of the Firm : | Maa Gouri Medicine store |
| Zone : | Central |
| Range : | BBSR-III RANGE |
| Police Station : | |
| Address : | Pl.No-1151, Kh-544, Tankapani Road, Unit-36, BBSR |
| RP Name : | Mahendra Kumar Mohapatra |
| Registration Number : | 11998/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Abhimanyu Sahoo |
| R : | 20203 |
| RC : | 20204 |
| RX : | 7665 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/5/2005 |
| Date of Expiry : | 8/4/2015 |
| Remarks : |