| Name Of the Firm : | Maa Bhawani Medical Store |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/Po- Ramagiri, Plot No. 697/2151, Kh. No.410/528 |
| RP Name : | Sri Somanath Sahu |
| Registration Number : | Sri Somanath Sahu, Regd. No. 1726/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri Suranjan Mandal |
| R : | 7702 |
| RC : | 7703 |
| RX : | 7704 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/4/2014 |
| Date of Expiry : | 6/3/2019 |
| Remarks : |