| Name Of the Firm : | Maa Ugratara Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-791/4338,Khata no-1166/897, Asst no-13025/A,Word no-17, At: New Bus Stand Road, BAM, Ganjam |
| RP Name : | Sri Mrutyunjaya Parida |
| Registration Number : | 24642 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Bijaya Kumar Panigrahi |
| R : | GAI-6971 |
| RC : | GAI-6972 |
| RX : | GAI-6973 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.03.02 |
| Date of Expiry : | 2018.03.01 |
| Remarks : |