| Name Of the Firm : | Maa Kuresuni Drug house, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At-Ramgiri, P.Nio- 596/1602, K.no- 410/300 |
| RP Name : | Kanhu Ch. Panda Regd.No-17478/OPC |
| Registration Number : | Regd.No-17478/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Santosh Kumar Behera, (Prop) |
| R : | 3173 |
| RC : | 3174 |
| RX : | 3175 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/1/2004 |
| Date of Expiry : | 4/30/2014 |
| Remarks : |