| Name Of the Firm : | Maa Kali Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 107/09, Khata No. 08, Patta no. 656, Ward No. 06, At/P.O.- Adapada |
| RP Name : | Rashmi Ranjan Sahu |
| Registration Number : | 13566 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Kirtan Swain |
| R : | GA-9526 |
| RC : | GA-9527 |
| RX : | GA-1986 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |