| Name Of the Firm : | Divyatma Medical Store, |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | At-Sisua, P.O.-Bairoi, Ctc. |
| RP Name : | Basanta Kumar Sahoo |
| Registration Number : | 9680/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Basanta Kumar Sahoo |
| R : | CU14184/R, dtd.6.04.1999 |
| RC : | CU14185/RC, |
| RX : | CU4310/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/6/1999 |
| Date of Expiry : | deemed to be valid 2017/12/31 |
| Remarks : | ,C/r for the period 2008 -12 sent vide lt. no.405/22.07.2008 |