| Name Of the Firm : | MAA DURGA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | FATAK, BUDHARAJA, SAMBALPUR |
| RP Name : | BIKASH CH PRADHAN |
| Registration Number : | 16625 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | PRADEEP KU NAYAK |
| R : | 1345 |
| RC : | 1346 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/5/2005 |
| Date of Expiry : | 12/4/2015 |
| Remarks : |