| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1510 Khata No.637 AT-PO-Biridi PS-Biridi DIST-Jagatsinghpur. |
| RP Name : | Siba Prasad Panda |
| Registration Number : | 14164 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Nitya Ranjan Mohanty |
| R : | 12472 |
| RC : | 12473 |
| RX : | 3452 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/11/1996 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |