| Name Of the Firm : | Maa Biraja Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Brahambarada |
| RP Name : | Prafulla Kumar Giri |
| Registration Number : | 5762 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Amarendra Behera |
| R : | 24614 |
| RC : | 24615 |
| RX : | 9366 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/1/2009 |
| Date of Expiry : | 1/14/2017 |
| Remarks : |