| Name Of the Firm : | Maa Shantoshi Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 2356, At- U.G.P.H.C. Campus, Khariar |
| RP Name : | 1.Prabhash Chandra Dalai (2) Prafulla Kumar Pati (3) Miss. Neha Khanum |
| Registration Number : | 1. 22615 (2) 18226 (3)25661 |
| Competent Person : | |
| Qualification : | D.Pharma D.Pharma B.Pharma |
| Name of the Proprietor : | Shree Ram Tayal |
| R : | SL-NU-5233R |
| RC : | SL-NU-5234Rc |
| RX : | SL-NU-5235Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/27/2010 |
| Date of Expiry : | 3/26/2015 |
| Remarks : |