| Name Of the Firm : | Maa Dakhinakali Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-11/507,Khata no-06,Asst no-15761,word no-24Komapalli,Goilundi Road, BAM |
| RP Name : | Sri Pradeepta Kishor Panda, |
| Registration Number : | 11562 (OPC) |
| Competent Person : | |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Pradeepta Kishor Panda |
| R : | GAI4189 |
| RC : | GAI4190 |
| RX : | GAI4191 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2008.03.10 |
| Date of Expiry : | 2018.03.09(U/r) |
| Remarks : | C/R Application submited to ddc sz vide this letter no-1698,Date:10.06.2013 |