| Name Of the Firm : | Maa Mangala Medicine Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At-Ranichholi P.o-Gohiriapur Dist Nayagarh |
| RP Name : | Jyoti Ranjan Roul |
| Registration Number : | 17761 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Prafulla Kumar Panda |
| R : | 26799 |
| RC : | 26800 |
| RX : | 10416 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/19/2011 |
| Date of Expiry : | 9/18/2016 |
| Remarks : |