| Name Of the Firm : | Maa Siddheswari Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O. Golkunda |
| RP Name : | Eliza Chakra |
| Registration Number : | 16404 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Gopabandhu Jena |
| R : | 22786 |
| RC : | 22787 |
| RX : | 8461 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/30/2007 |
| Date of Expiry : | 4/29/2017 |
| Remarks : | C/R Recommended |