Name Of the Firm :	MAA MEDICAL HALL
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	SUB-DIVN. HOSPITAL, KUCHINDA, SAMBALPUR
RP Name :	SUSHIL KU NAYAK GAGAN BIHARI PRADHAN
Registration Number :	4946 20106
Competent Person :
Qualification :
Name of the Proprietor :	HAREKRISHNA MAHAPATRA
R :	703
RC :	704
RX :	705
RR :
RRC :
W :
WC :
WX :
Date of Issue :	6/20/1994
Date of Expiry :	12/31/2011
Remarks :	ACR 2012-2016