| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At. Dhiakaranda, P.O. Bandalo |
| RP Name : | Pradeep Kumar Nayak |
| Registration Number : | 11341 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Akshaya Kumar Panda |
| R : | 21197 |
| RC : | 21198 |
| RX : | 7662 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/5/2005 |
| Date of Expiry : | 8/4/2015 |
| Remarks : |