| Name Of the Firm : | Maa Tara Tarini Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 3095/4116, Khata No. 1659/413, New Bus Stand, At/P.O.- Purushottampur |
| RP Name : | Ganesh Behera |
| Registration Number : | 16435 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sukarna Behera |
| R : | SLGAII-4913 |
| RC : | SLGAII-4914 |
| RX : | SLGAII-4915 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |