| Name Of the Firm : | Maa Ugratara Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | At:Plot No. 2754,Khata No. 1166/3160, Jayaprakash Nagar 1st Lane, BAM, Ganjam |
| RP Name : | Sri Simanchal Swain |
| Registration Number : | 15276 (OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Shiba Sankar Panigrahi |
| R : | GAI-6904 |
| RC : | GAI-6905 |
| RX : | GAI-6906 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/30/2013 |
| Date of Expiry : | 1/29/2018 |
| Remarks : |