| Name Of the Firm : | JYOTI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- KUNTARA, DIST- SAMBALPUR |
| RP Name : | SUBRATA PATEL |
| Registration Number : | 13246 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SANJIB KUMAR PATEL |
| R : | 1179 |
| RC : | 1180 |
| RX : | 1181 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/24/2003 |
| Date of Expiry : | 1/23/2013 |
| Remarks : | ACR 24.01.2013 to 23.01.2018 |