| Name Of the Firm : | AYUSH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | PADIABAHAL, P.S. SADAR, SAMBALPUR |
| RP Name : | RAJENDRA BADI |
| Registration Number : | 21521 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | ANAND KUMAR PANDA |
| R : | 1481 |
| RC : | 1482 |
| RX : | 1483 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/6/2007 |
| Date of Expiry : | 11/5/2012 |
| Remarks : | ACR 06.11.2012 to 05.11.2017 |