| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Ranigoda |
| RP Name : | Sanjit Kumar Jena |
| Registration Number : | 19074 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bhaskar Sahoo |
| R : | 27995 |
| RC : | 27996 |
| RX : | 11010 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/22/2012 |
| Date of Expiry : | 12/21/2017 |
| Remarks : |