| Name Of the Firm : | BURLA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | NEAR DOCTOR COLONY BURLA, SAMBALPUR |
| RP Name : | BABULAL TIRKEY |
| Registration Number : | 18006 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SATRUGHANA SAHU |
| R : | 1478 |
| RC : | 1479 |
| RX : | 1480 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/29/2007 |
| Date of Expiry : | 8/28/2012 |
| Remarks : | ACR 29.08.2012 to 28.08.2017 |