| Name Of the Firm : | Maa Mangala Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Brahmanigaon, Dist:Bhadrak Plot No.1680,1681, Khata No.440 |
| RP Name : | Sri Golakh Chandra Sahoo |
| Registration Number : | 11790(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Chakradhara Sahoo. |
| R : | BH-21300/R |
| RC : | BH-21301/RC |
| RX : | BH-7714/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/13/2005 |
| Date of Expiry : | 2015-09-12 |
| Remarks : | C/R Not issued |