| Name Of the Firm : | Maa Manikeswari Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 438, Khata No.- 36, Banijara, Kalahandi |
| RP Name : | Sri Bidhan Sundar Panda |
| Registration Number : | 18596 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Surendra Meher |
| R : | 5616 |
| RC : | 5617 |
| RX : | 5618 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 12/4/2010 |
| Date of Expiry : | 12/3/2015 |
| Remarks : | G.D.L |