| Name Of the Firm : | Maa Ambica Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 87, Survey No. 241, At: Nagardiha Patna, P.O.-Langaleswara |
| RP Name : | Rajendra Kumar Sahu |
| Registration Number : | 21135 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Amiya Kuamr Satpathy |
| R : | SLGAII-4416 |
| RC : | SLGAII-4417 |
| RX : | SLGAII-4418 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |