| Name Of the Firm : | JAGNYASENI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-CHAURPUR, DIST-SAMBALPUR |
| RP Name : | HIMANSHU SEKHAR PANDA |
| Registration Number : | 11971 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | HIMANSHU SEKHAR PANDA |
| R : | 1275 |
| RC : | 1276 |
| RX : | 1277 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/11/2004 |
| Date of Expiry : | 10/10/2014 |
| Remarks : |