Name Of the Firm :	MAA SAMALESWARI MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	AT/PO-KUTURACHUAN, DIST-SAMBALPUR
RP Name :	CHINMAY KU MISHRA
Registration Number :	12420
Competent Person :
Qualification :
Name of the Proprietor :	CHINMAY KU MISHRA
R :	1336
RC :	1337
RX :	1338
RR :
RRC :
W :
WC :
WX :
Date of Issue :	7/27/2005
Date of Expiry :	7/26/2010
Remarks :	ACR 27.05.2010 TO 26.07.2015