| Name Of the Firm : | Maa Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.196 Khata No.789 AT-Odapada PO-Alipangal PS-DIST-Jagatsinghpur. |
| RP Name : | Smruti Ranjan Badu |
| Registration Number : | 22517 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Baireeganjan Palai |
| R : | 25771 |
| RC : | 25772 |
| RX : | 9943 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/11/2010 |
| Date of Expiry : | 10/10/2015 |
| Remarks : |