| Name Of the Firm : | Maa Dakhinakali Poly Clinic |
| Zone : | Central |
| Range : | BBSR-III RANGE |
| Police Station : | |
| Address : | Pl.No-211/1905, Lewis Road near Kedar Gouri, BBSR |
| RP Name : | Subrat Ku. Panda |
| Registration Number : | 4984/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Bikram Ranjan Sahoo |
| R : | 22896 |
| RC : | 22897 |
| RX : | 8515 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/25/2007 |
| Date of Expiry : | 6/24/2017 |
| Remarks : |