| Name Of the Firm : | MAA SHYAMA MEDICAL AGENCY |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | SAHAJOG NAGAR, BUDHARAJA, SAMBALPUR |
| RP Name : | |
| Registration Number : | |
| Competent Person : | SUKANTA DHAR |
| Qualification : | B.COM |
| Name of the Proprietor : | SUKANTA DHAR |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 820 |
| WC : | 821 |
| WX : | 822 |
| Date of Issue : | 9/21/2011 |
| Date of Expiry : | 9/20/2016 |
| Remarks : |