| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po :Chayalsingh, Dist : Bhadrak Plot No.337, Khata No. 168 |
| RP Name : | Sri Ganesh Prasad Sahoo |
| Registration Number : | 17086(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sisira Kumar Rout |
| R : | BH-27205/R |
| RC : | BH-27206/RC |
| RX : | BH-10615/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 3/30/2012 |
| Date of Expiry : | 3/29/2017 |
| Remarks : | Up to date licence |