| Name Of the Firm : | Maa Mangala Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Mainda, P.O.-Baniapal |
| RP Name : | Biswajit Mohanty |
| Registration Number : | 14906 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bijaylaxmi Sahoo |
| R : | 23334 |
| RC : | 23335 |
| RX : | 8733 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/6/2007 |
| Date of Expiry : | 12/5/2017 |
| Remarks : |