| Name Of the Firm : | Maa Medical Store |
| Zone : | Central |
| Range : | BBSR-III RANGE |
| Police Station : | |
| Address : | Pl.No-220/1248, 220/1249 & 220 (P), Room-2, Kh-69, CTC Rd, Laxmisagar, BBSR |
| RP Name : | Smt. Lalit Prava Nayak |
| Registration Number : | 11770/ OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Laxmikanta Mohanty |
| R : | 23618 |
| RC : | 23619 |
| RX : | 8872 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/14/2008 |
| Date of Expiry : | 3/13/2018 |
| Remarks : |