| Name Of the Firm : | LAXMI MEDICAL HALL |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-SASON DIST-SAMBALPUR |
| RP Name : | |
| Registration Number : | |
| Competent Person : | OM PRAKASH AGRAWAL |
| Qualification : | B.COM |
| Name of the Proprietor : | SIBA SHANKAR AGRAWAL |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 243 |
| WC : | 244 |
| WX : | |
| Date of Issue : | 8/6/1988 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |