| Name Of the Firm : | Maa Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.221 Khata No.109 AT-Sajauddin Nagar PO-Manijanga PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Latufar Raheman |
| Registration Number : | 1218 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Pradipta Kumar Sahoo |
| R : | 3279 |
| RC : | 3280 |
| RX : | 356 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/13/1977 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |