| Name Of the Firm : | AYUSH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | SUNDHIMUNDA, P.O.- RAIRAKHOL DIST- SAMBALPUR |
| RP Name : | PRAMOD KUMAR TRIPATHY |
| Registration Number : | 1438 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | MISS IPSITA MISHRA |
| R : | 1610 |
| RC : | 1611 |
| RX : | 1612 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/23/2010 |
| Date of Expiry : | 7/22/2015 |
| Remarks : |