| Name Of the Firm : | Maa Santoshi Medical Store |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/Po- Gumma, P.No- 705, K.no- 413 |
| RP Name : | Sri Ranjita Dash Regd.No- 24434/OPC |
| Registration Number : | Regd.No- 24434/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri Kailash Chandra Paik (Prop.) |
| R : | 6486R |
| RC : | 6487 |
| RX : | 6488 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/18/2012 |
| Date of Expiry : | 17.04.2017 |
| Remarks : |