| Name Of the Firm : | Maa Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Panikoili |
| RP Name : | Manoj Kumar Dash |
| Registration Number : | 11918 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Rabindra Kumar Swain |
| R : | 16822 |
| RC : | 16823 |
| RX : | 5613 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/25/2002 |
| Date of Expiry : | 4/24/2017 |
| Remarks : | C/R Recommended |