| Name Of the Firm : | Maa Durga Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.699 Khata No.118 AT-PO-Kanakpur PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Sambit Das |
| Registration Number : | 12945 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Bhakti Ranjan Mohanty |
| R : | 16090 |
| RC : | 16091 |
| RX : | 5262 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/25/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |