| Name Of the Firm : | Maa Mangala Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Sidhapal, Rekhideipur |
| RP Name : | Pratyusha Kumar Jena |
| Registration Number : | 21419 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Trilochan Pradhan |
| R : | 23576 |
| RC : | 23577 |
| RX : | 8851 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/26/2008 |
| Date of Expiry : | 2/25/2018 |
| Remarks : |