| Name Of the Firm : | Maa Malati Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Bonth, Dist:Bhadrak Plot No.1484, Khata No.177 |
| RP Name : | Sri Mohini Mohan Senapati |
| Registration Number : | 15460(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pramod ku. Samal |
| R : | BH-23052/R |
| RC : | BH-23053/RC |
| RX : | BH-8593/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/25/2007 |
| Date of Expiry : | 9/24/2017 |
| Remarks : | C/R Not Issued |