| Name Of the Firm : | Maa Padmalaya Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No 256, Kh. No 168, At/Po- Dibyasinghpur, Via- Banpur, Dist- Khurda |
| RP Name : | Sri Mahendra Kumar Narendra Singh Burma |
| Registration Number : | 4025/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Mahendra Kumar Narendra Singh Burma |
| R : | KH 23200 |
| RC : | KH 23201 |
| RX : | KH 8667 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/31/2007 |
| Date of Expiry : | 10/30/2012 |
| Remarks : | Send to D.C office 1199/05.12.2012 (applied for renewal 31-10-12 to 30-10-17) |