| Name Of the Firm : | Kumari Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At-Paralakhemundi, p.NO- 125/52, k.NO- 85/77 |
| RP Name : | Sashi Bhusan Sahu R.No-1880 |
| Registration Number : | R.No-1880 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sashi Bhusan Sahu (Prop.) |
| R : | 5141 |
| RC : | 5142 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/1/2007 |
| Date of Expiry : | 31.12.12 |
| Remarks : | Surrender on date:- 12.11.12 |