| Name Of the Firm : | Mahamayee Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Khaman, P.O.- Sankhachila |
| RP Name : | Sudhansu Sekhar Sahoo |
| Registration Number : | 21068 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Suresh Ku. Patra |
| R : | 14066 |
| RC : | 14067 |
| RX : | 4251 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/15/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |