| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 406/2602, Khata No- 335, Thana No- 46, At/po- Nilgi |
| RP Name : | Shiba Narayan Raut |
| Registration Number : | 23181 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Dhabaleswar Pradhan |
| R : | SL-NU-2417R |
| RC : | SL-NU-2418Rc |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/3/2005 |
| Date of Expiry : | 1/2/2015 |
| Remarks : |