| Name Of the Firm : | MAA SAMALAI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT- GURUPALI, PO- LAPANGA, DIST- SAMBALPUR |
| RP Name : | BISWAJIT RAUL |
| Registration Number : | 18829 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | HRUSHIKESH KHARSEL |
| R : | 1634 |
| RC : | 1635 |
| RX : | 1636 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/10/2010 |
| Date of Expiry : | 11/9/2015 |
| Remarks : |