| Name Of the Firm : | Maa Thakurani Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 349, Survey No. 493, Khata No. 313, Patta No. 308, At: Gopapur, P.O.- Chikili |
| RP Name : | Maheswara Gochayat |
| Registration Number : | 10157 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ganesh Gochayat |
| R : | SLGAII-1316 |
| RC : | SLGAII-1317 |
| RX : | SLGAII-1318 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |