| Name Of the Firm : | Sri Santoshi Maa Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Khata No. 740, Survey No. 309, At/P.O.- Jayanti Pur |
| RP Name : | Prabina Kumar Panda |
| Registration Number : | 23981 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Monoj Kumar Padhi |
| R : | SLGAI-1288 |
| RC : | SLGAI-1289 |
| RX : | SLGAI-1290 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |