| Name Of the Firm : | Maa Mangala Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1224/3076, Khata No. 1482/127, At/P.O.- Haladiapadara |
| RP Name : | Sunanda Kumari Patro |
| Registration Number : | 23675 |
| Competent Person : | |
| Qualification : | B. Pharma |
| Name of the Proprietor : | Rama Chandra Dash |
| R : | SLGAII-5397 |
| RC : | SLGAII-5398 |
| RX : | SLGAII-5399 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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