| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central |
| Range : | BBSR-III RANGE |
| Police Station : | |
| Address : | Plot No-MB-1, Khata No-1240, Baragada Brit Colony, BBSR |
| RP Name : | Prabhat Kumar Roul |
| Registration Number : | 16969/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Puspalata Pradhan |
| R : | 28315 |
| RC : | 28316 |
| RX : | 11170 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/5/2013 |
| Date of Expiry : | 6/4/2018 |
| Remarks : |