| Name Of the Firm : | MAA SAMALESWARI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | NH6, SARLA CHOWK, SAKHIPARA ROAD, SAMBALPUR |
| RP Name : | AMIYA KU PRADHAN |
| Registration Number : | 20690 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | PRADIP KUMAR NAIK |
| R : | 1607 |
| RC : | 1608 |
| RX : | 1609 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/30/2010 |
| Date of Expiry : | 6/29/2015 |
| Remarks : |