| Name Of the Firm : | Maa Tarini Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1238, Khata No.- 18, Tulapada, Kalahandi |
| RP Name : | Smt. Priyambada Parida |
| Registration Number : | 23908 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Khalli Nayak |
| R : | 6510 |
| RC : | 6511 |
| RX : | 6512 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 5/9/2012 |
| Date of Expiry : | 5/8/2017 |
| Remarks : | G.D.L |