| Name Of the Firm : | HARI OM MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | PEERBABA CHOWK, SAMBALPUR |
| RP Name : | NIKHIL KUMAR SUNDARAY |
| Registration Number : | 7960 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | KRUSHNA SHANKAR MISHRA |
| R : | 1466 |
| RC : | 1467 |
| RX : | 1468 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/12/2007 |
| Date of Expiry : | 7/11/2017 |
| Remarks : |