| Name Of the Firm : | Sahu Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/po- Sinkulapadra, P.no- 499/736, K. no-82/64 |
| RP Name : | Jayaram Behura Regd.No- 20310/OPC |
| Registration Number : | Regd.No- 20310/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Manoj Kumar Sahu,(Prop.) |
| R : | 5120 |
| RC : | 5121 |
| RX : | 5122 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/27/2010 |
| Date of Expiry : | 1/26/2015 |
| Remarks : |