| Name Of the Firm : | Maa Kali Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.384 Khata No.176 At/PO-Deriki (Mouza-gangadhat), PS-Naugaon, Dist-Jagatsighpur |
| RP Name : | Jyoti Prakash Mohanty |
| Registration Number : | 15219 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Animesh Maity |
| R : | 27673 |
| RC : | 27674 |
| RX : | 10849 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/12/2012 |
| Date of Expiry : | 9/11/2017 |
| Remarks : |