| Name Of the Firm : | Maa Tara Tarini Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1051/1713, Khata No. 268, At/P.O.- Katuru |
| RP Name : | Susanta Kumar Bhuyan |
| Registration Number : | 18511 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Somarendra Behera |
| R : | SLGAII-6632 |
| RC : | SLGAII-6633 |
| RX : | SLGAII-6634 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |