| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.600 Khata No.349 AT-PO-Dedhasaradeuli PS-DIST-Jagatsinghpur. |
| RP Name : | Gouttama Chandra Mallick |
| Registration Number : | 13737 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Parbati Swain |
| R : | 16094 |
| RC : | 16095 |
| RX : | 5264 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/26/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |