| Name Of the Firm : | MAA BHUBANESWARI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | PANITANKI ROAD, MODIPARA, SAMBALPUR |
| RP Name : | PRABIR KUMAR DASH |
| Registration Number : | 19818 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SUJIT KU PANDA |
| R : | 1535 |
| RC : | 1536 |
| RX : | 1537 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/28/2008 |
| Date of Expiry : | 11/27/2013 |
| Remarks : |