| Name Of the Firm : | MAA SARALA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | INDIRA CHOWK, BURLA, SAMBALPUR |
| RP Name : | DEBASIS SARANGI |
| Registration Number : | 15289 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | NALINI KANTA PANDA |
| R : | 1556 |
| RC : | 1557 |
| RX : | 1558 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/22/2009 |
| Date of Expiry : | 5/21/2014 |
| Remarks : |