| Name Of the Firm : | Maa Patakhanda Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Gajalabadi, Via: Surada,Plot No.690 Kh.No.100 |
| RP Name : | Reshma Choudhury |
| Registration Number : | 23676 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Simanchal Sahu |
| R : | 5284 |
| RC : | 5285 |
| RX : | 5286 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2010.04.30 |
| Date of Expiry : | 2015.04.29 |
| Remarks : |