| Name Of the Firm : | Maa Bankeswari Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 764, Khata No. 350, At: Jiura, P.O.- Gangapur |
| RP Name : | Manas Ranjan Dalai |
| Registration Number : | 6238 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Siba Sankar Sahu |
| R : | SLGAI-3384 |
| RC : | SLGAI-3385 |
| RX : | SLGAI-3386 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |