| Name Of the Firm : | JOGMAYA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- MANESWAR, DIST-SAMBALPUR |
| RP Name : | DASARATHI PRADHAN |
| Registration Number : | 14668 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | ABANIKANTA SETH |
| R : | 1314 |
| RC : | 1315 |
| RX : | 1316 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/30/2005 |
| Date of Expiry : | 3/29/2010 |
| Remarks : | ACR 30.03.2010 TO 29.03.2015 |