| Name Of the Firm : | Sri Maa Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Panikoili |
| RP Name : | Ranjit Behera |
| Registration Number : | 10456 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Prasanta Kumar Mallick |
| R : | 20135 |
| RC : | 20136 |
| RX : | 7128 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/11/2004 |
| Date of Expiry : | 8/10/2014 |
| Remarks : |