| Name Of the Firm : | JAI GANESH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- SINDURPANK, DIST- SAMBALPUR |
| RP Name : | SUBHAJIT MAHAPATRA |
| Registration Number : | 12979 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SUSHANTA KU MAHAKUR |
| R : | 1526 |
| RC : | 1527 |
| RX : | 1528 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/10/2008 |
| Date of Expiry : | 11/9/2013 |
| Remarks : |