| Name Of the Firm : | Maa Khambeswari Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Survey No. 420/02, Jamabandi No. 356, At/P.O.- Samarjhola |
| RP Name : | Firoz Kumar Sahu |
| Registration Number : | 18437 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | K. Tejeswara Rao |
| R : | SLGAII-1681 |
| RC : | SLGAII-1682 |
| RX : | SLGAII-1683 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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