| Name Of the Firm : | Mahamayi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At: Basudevpur, Po: Gobara,Plot No.1546,Kh.No.463 |
| RP Name : | Santosh Kumar Sahu |
| Registration Number : | 5759 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Santosh Kumar Sahu |
| R : | 3989 |
| RC : | 3990 |
| RX : | 3991 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2007.11.02 |
| Date of Expiry : | 2017.11.01 |
| Remarks : |