| Name Of the Firm : | Maa Medicine store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At. Mundamal, P. O. Jajpur Road |
| RP Name : | Sangram Das |
| Registration Number : | 22578 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sujnan Bhusan Bhanja |
| R : | 27129 |
| RC : | 27130 |
| RX : | 10577 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/9/2012 |
| Date of Expiry : | 1/8/2017 |
| Remarks : |