| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At. Amiyajhari, P.O. Barunia |
| RP Name : | Khirod Chandra Behera |
| Registration Number : | 2933 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sangram Keshari Biswal |
| R : | 26351 |
| RC : | 26352 |
| RX : | 10197 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/4/2011 |
| Date of Expiry : | 5/3/2016 |
| Remarks : |