| Name Of the Firm : | Maa Bankeswari Swaathya Mandira |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 3022, Khata No. 450, Ward No. 01, Holding No. 01/84, Tahasil Office Road, At/P.O.- Digapahandi |
| RP Name : | Rabi Narayan Rana |
| Registration Number : | 25057 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Jitendra Pradhan |
| R : | SLGAII-6731 |
| RC : | SLGAII-6732 |
| RX : | SLGAII-6733 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |