| Name Of the Firm : | Maa Ram Chandi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 3645, Khata No. 664/4, At/P.O.- Jhadabai |
| RP Name : | Ajit Kumar Pradhan |
| Registration Number : | 15535 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Promad Kumar Panda |
| R : | SLGAII-2208 |
| RC : | SLGAII-2209 |
| RX : | SLGAII-2210 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |