| Name Of the Firm : | Maa Susila Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Jayadurgapatna, Po : Dhamara, Dist : Bhadrak Plot No.9, Khata No.40 |
| RP Name : | Sri Satyabrata Sahoo |
| Registration Number : | 7100(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Nityanada Chanda. |
| R : | BH-24092/R |
| RC : | BH-24093/RC |
| RX : | BH-9107/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/15/2008 |
| Date of Expiry : | 10/14/2013 |
| Remarks : | Up to date Licence |