| Name Of the Firm : | Maa Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.2731 Khata No.379 AT-PO-PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Sanjibani Samantray |
| Registration Number : | 17758 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Dibakar Swain |
| R : | 22118 |
| RC : | 22119 |
| RX : | 8120 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/1/2006 |
| Date of Expiry : | 6/30/2016 |
| Remarks : |