| Name Of the Firm : | BEHERA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- RAIRAKHOL, DIST- SAMBALPUR |
| RP Name : | SWAGAT KUMAR PRADHAN |
| Registration Number : | 22039 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SMT. JYOTIRMAYEE BEHERA |
| R : | 1398 |
| RC : | 1399 |
| RX : | 1400 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/4/2012 |
| Date of Expiry : | 10/3/2017 |
| Remarks : |