| Name Of the Firm : | Maa Laxmi Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 849, Khata No.- 86, At.-Sandhikuliary, Po.- Sandhikuliary, Kalahandi |
| RP Name : | Sri Dibya Ranjan Panda |
| Registration Number : | 15572 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Amod Kumar Das |
| R : | 7291 |
| RC : | 7292 |
| RX : | 7293 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 8/29/2013 |
| Date of Expiry : | 8/28/2018 |
| Remarks : | G.D.L |