| Name Of the Firm : | LAXMI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- KUCHINDA, DIST- SAMBALPUR |
| RP Name : | CHINMAYA KUMAR SAHU |
| Registration Number : | 13630 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | CHETTRAM AGRAWAL |
| R : | 1628 |
| RC : | 1629 |
| RX : | 1630 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/12/2010 |
| Date of Expiry : | 10/11/2015 |
| Remarks : |