| Name Of the Firm : | MAA RAMA CHANDI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- LAPANGA, DIST- SAMBALPUR |
| RP Name : | RANJAN KUMAR PATEL |
| Registration Number : | 25254 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | PANCHANAN RAY |
| R : | 1592 |
| RC : | 1593 |
| RX : | 1594 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/26/2012 |
| Date of Expiry : | 12/25/2017 |
| Remarks : |