| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 833/2372, Khata No.- 280/166, At.-Hatikhoj, Po.- Hatikhoj, Kalahandi |
| RP Name : | Sri Sagar ranjan Khamari |
| Registration Number : | 12344 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Dhirendra Sahu |
| R : | 7351 |
| RC : | 7352 |
| RX : | 7253 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 11/6/2013 |
| Date of Expiry : | 11/5/2018 |
| Remarks : | G.D.L |