| Name Of the Firm : | Maa Life Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1820 Khata No.78 AT-Mulisingha PO-Harisinghpur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Madhu Chanda Behera |
| Registration Number : | 19769 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Rajani kanta Sahoo |
| R : | 27109 |
| RC : | 27110 |
| RX : | 10567 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 211-12-28 |
| Date of Expiry : | 12/27/2016 |
| Remarks : |