| Name Of the Firm : | Maa Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1730, Khata No.- 209, At.- Mahavir Pada, Bhawanipatbna, Kalahandi |
| RP Name : | Sri Rakesh Rosan Mund |
| Registration Number : | 24298 |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Paban Kumar Agrawal |
| R : | 5634 |
| RC : | 5635 |
| RX : | 5636 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 12/23/2010 |
| Date of Expiry : | 12/22/2015 |
| Remarks : | G.D.L |