| Name Of the Firm : | Maa Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po :Basudevpur, Dist : Bhadrak Plot No.93, Khata No.1313 Room No. : A-1 |
| RP Name : | Sri Sanat Ku. Rout |
| Registration Number : | 21846(O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Narayan Panigrahi. |
| R : | BH-25349/R |
| RC : | BH-25350/RC |
| RX : | BH-9733/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 4/28/2010 |
| Date of Expiry : | 4/27/2015 |
| Remarks : | Up to date Licence |