| Name Of the Firm : | Maa Medicine Store, |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.489 Khata No.17 At-Bijayachandrapur,(Tareni Gada) PO-Athrarabanki Paradeep, Dist-Jagatsinghpur |
| RP Name : | Santosh Kumar Rout |
| Registration Number : | 1120 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Saroj Kumar Das |
| R : | 27225 |
| RC : | 27226 |
| RX : | 10625 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/5/2012 |
| Date of Expiry : | 4/4/2017 |
| Remarks : |