| Name Of the Firm : | Maa Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Asurali, Dist: Bhadrak Plot No.2641, Khata No.251 |
| RP Name : | Sri Avaya Ku. Khatua |
| Registration Number : | 11828(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sadananda Das |
| R : | BA-16220/R |
| RC : | BA-16221/RC |
| RX : | BA-5326/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 8/10/2001 |
| Date of Expiry : | 12/31/2012 |
| Remarks : | C/R Not Issued |