| Name Of the Firm : | Maa Sidha Bhairabi Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1253/2388, 1252/2387, Khata No. 179/491, Ward No. , Holding No. 322, Brahmanagar, At/P.O.- Chikiti Pentho |
| RP Name : | B. Bala Krushna Patro |
| Registration Number : | 15617 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Prabhanjan Malana |
| R : | SLGAII-6336 |
| RC : | SLGAII-6337 |
| RX : | SLGAII-6338 |
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| Date of Issue : | |
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