| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 4069, Khata No. 903, At/P.O.- Chingudighai |
| RP Name : | Prasant kumar Padhiali |
| Registration Number : | 25368 |
| Competent Person : | |
| Qualification : | B. Pharma |
| Name of the Proprietor : | Santosh Kumar Nahak |
| R : | SLGAII-6477 |
| RC : | SLGAII-6478 |
| RX : | SLGAII-6479 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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