| Name Of the Firm : | Maa Sarala Medicine Store |
| Zone : | Central |
| Range : | Kendrapara |
| Police Station : | |
| Address : | Golarahat, Derabish, Kdp. |
| RP Name : | Sangram Kishor Mallik |
| Registration Number : | Regn.no.-18701 /opc |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Shradhanjali Mallik |
| R : | Ken-22892/R |
| RC : | Ken-22893/Rc |
| RX : | Ken-8513/Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/22/2007 |
| Date of Expiry : | 6/21/2017 |
| Remarks : | Under Renewal/ Applied for C/R |