| Name Of the Firm : | BAIVABA LAXMI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT- SARLAKANI, PO- DHANKAUDA, P.S- DHANUPALI, DIST- SAMBALPUR |
| RP Name : | DEBASIS MAHAKHUD |
| Registration Number : | 18782 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | DEBASIS MAHAKHUD |
| R : | 1718 |
| RC : | 1719 |
| RX : | 1720 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/21/2012 |
| Date of Expiry : | 11/20/2017 |
| Remarks : |