| Name Of the Firm : | AYUSHMAN MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- KUSUMI, PS- MAHULPALI, DIST- SAMBALPUR |
| RP Name : | SHANKAR NARAYAN SAHU |
| Registration Number : | 14727 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | KADAMBINI BEHERA |
| R : | 1655 |
| RC : | 1656 |
| RX : | 1657 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/18/2011 |
| Date of Expiry : | 1/17/2016 |
| Remarks : |