| Name Of the Firm : | Maa Sarala Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1170/2511 Khata No.899/2 AT-PO-Kania PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Ansuman Pattnaik |
| Registration Number : | 19321 |
| Competent Person : | |
| Qualification : | B.Pharma |
| Name of the Proprietor : | Govinda Chandra Malla |
| R : | 24778 |
| RC : | 24779 |
| RX : | 9448 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/31/2009 |
| Date of Expiry : | 8/30/2014 |
| Remarks : |