| Name Of the Firm : | Mamata Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Pitala,Plot No.999/1631,Kh.No.215/69 |
| RP Name : | Arun Kumar Pradhan |
| Registration Number : | 5753 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Simanchal Patra |
| R : | 67 |
| RC : | 68 |
| RX : | 35 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1993.07.07 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |