| Name Of the Firm : | Maa Banadurga Med. Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-86, Ekamra Marg, Ganganagar, Unit-6, BBSR |
| RP Name : | Prabhata Ku Mohapatra |
| Registration Number : | 15566/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dillip Ku Panda |
| R : | 25599 |
| RC : | 25600 |
| RX : | 9857 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/12/2010 |
| Date of Expiry : | 7/11/2015 |
| Remarks : |