| Name Of the Firm : | CITY MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | V.S.S. MARG, PENSION PARA, SAMBALPUR |
| RP Name : | PRASANTA KU PRADHAN |
| Registration Number : | 22856 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | DALJIT SINGH |
| R : | 1619 |
| RC : | 1620 |
| RX : | 1621 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/29/2010 |
| Date of Expiry : | 7/28/2015 |
| Remarks : |