Name Of the Firm :	LAXMI MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	AT/PO- HIRAKUD
RP Name :	SURESH CHANDRA DASH
Registration Number :	5836
Competent Person :
Qualification :
Name of the Proprietor :	SURESH CHANDRA DASH
R :	647
RC :	648
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	11/7/1993
Date of Expiry :	12/31/2012
Remarks :	ACR 2013-2017