| Name Of the Firm : | MAA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | LAXMI TALKIES ROAD, SAMBALPUR |
| RP Name : | BISWANATH MEHER |
| Registration Number : | 98089 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | RAM CHANDRA MEHER |
| R : | 1121 |
| RC : | 1122 |
| RX : | 1123 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/19/2002 |
| Date of Expiry : | 4/18/2012 |
| Remarks : | ACR 19.04.2012 TO 18.04.2017 |