| Name Of the Firm : | Maa Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 403, Khata No. 1012/273, At/P.O.- Khallikote |
| RP Name : | Sibananda Dash |
| Registration Number : | 18464 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Mihir Ranjan Mishra |
| R : | SLGAII-6191 |
| RC : | SLGAII-6192 |
| RX : | SLGAII-6193 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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