| Name Of the Firm : | BABA MEDICAL HALL |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-RENGALI, DIST-SAMBALPUR |
| RP Name : | RAJENDRA KUMAR SAHU |
| Registration Number : | 13650 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SHANKAR PRASAD MAZUMDAR |
| R : | 1115 |
| RC : | 1116 |
| RX : | 1117 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/9/2002 |
| Date of Expiry : | 4/8/2012 |
| Remarks : | ACR 09.04.2012 TO 08.04.2017 |