| Name Of the Firm : | Maa Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Duburi |
| RP Name : | Jatan Kumar Sethy |
| Registration Number : | 13570 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Ashok Kumar Dash |
| R : | 12330 |
| RC : | 121331 |
| RX : | 3377 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/8/1996 |
| Date of Expiry : | 12/28/2016 |
| Remarks : |