| Name Of the Firm : | Maa Medicine Store. |
| Zone : | Central |
| Range : | Kendrapara |
| Police Station : | |
| Address : | At-Khadianga,Plot No-852,Khata No-273 |
| RP Name : | Soumya Ranjan Rout |
| Registration Number : | Regn.no.-13762/opc |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Soumya Ranjan Rout |
| R : | Ken-19904/R |
| RC : | Ken-19905/Rc |
| RX : | Ken-7012/Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/26/2004 |
| Date of Expiry : | 5/25/2014 |
| Remarks : | Under Renewal/ Applied for C/R |