| Name Of the Firm : | Maa Banadurga Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No 17, Kh. No 181, At- Dhalapathar, Po- Kalapathar, Dist- Khurda |
| RP Name : | Sri Rajesh Kumar Maharana |
| Registration Number : | 14338/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Prabhat Kumar Pradhan |
| R : | KH 19802 |
| RC : | KH 19803 |
| RX : | KH 6961 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/22/2004 |
| Date of Expiry : | 4/21/2014 |
| Remarks : |