| Name Of the Firm : | Maa Manikeswari Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 196, Khata No.- 70, Kalampur, Kalahandi |
| RP Name : | Pradipta Kumar Sahoo |
| Registration Number : | 18356 |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Manguli Sahoo |
| R : | 2272 |
| RC : | 2273 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 9/25/2004 |
| Date of Expiry : | 9/24/2014 |
| Remarks : | C/R |