| Name Of the Firm : | Maa Samaleswari Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 462, Khata No.- 72/8, Kalampur, Kalahandi |
| RP Name : | Pradeep Kumar Rajput |
| Registration Number : | 8156 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pradeep Kumar Rajput |
| R : | 3342 |
| RC : | 3343 |
| RX : | 3344 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 9/16/2006 |
| Date of Expiry : | 9/15/2016 |
| Remarks : | C/R |