| Name Of the Firm : | Maa Shyamalai Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 584, Khata NO. 175, At: Shaymalai Chhaka, P.O. Burupada |
| RP Name : | Rajendra Kumar Sahu |
| Registration Number : | 18740 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Gopala Krushna Pattanaik & Kiran Kumar Pattanaik |
| R : | SLGAII-6883 |
| RC : | SLGAII-6884 |
| RX : | SLGAII-6885 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |