| Name Of the Firm : | GUPTESWARI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | C.H.C. CAMPUS, NAKTIDEUL, SAMBALPUR |
| RP Name : | KALPANA SWAIN TAPAN KUMAR PRADHAN SATYABAN SAHU |
| Registration Number : | 16195 21203 11241 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | KALPANA SWAIN |
| R : | 1449 |
| RC : | 1450 |
| RX : | 1451 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/24/2007 |
| Date of Expiry : | 5/23/2012 |
| Remarks : | ACR 24.05.2012 to 23.05.2017 |