| Name Of the Firm : | Maa Dakhina Chandi Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No. 102, Kh. No. 291, Kurumapada, Po- Hadapada, Dist- Khurda |
| RP Name : | Smita Rautray |
| Registration Number : | 16901/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Amarendra Kumar Baliarsingh |
| R : | KH 25236 |
| RC : | KH 25237 |
| RX : | KH 9677 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/22/2010 |
| Date of Expiry : | 3/21/2015 |
| Remarks : |