| Name Of the Firm : | Maa Mangala Medicien Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.883 Khata No.676 AT-Adhangahat PO-Anakhia PS-DIST-Jagatsinghpur. |
| RP Name : | Debendra Khandual |
| Registration Number : | 2635 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Debendra Khandual |
| R : | 23102 |
| RC : | 23103 |
| RX : | 8618 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/4/2007 |
| Date of Expiry : | 10/3/2017 |
| Remarks : |