| Name Of the Firm : | Maa Charchika Medicine Store |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | At/PO=Banki, Shop Room NO.8,Ward No-10,Ctc |
| RP Name : | Rati Ranjan Rout |
| Registration Number : | 22041 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Srinibash Prusty |
| R : | CU27487RC |
| RC : | CU27488R |
| RX : | CU10756RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/9/2012 |
| Date of Expiry : | 7/8/2017 |
| Remarks : |