| Name Of the Firm : | MAA TARINI MEDICAL AGENCY |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | LAXMI NARAYAN LANE , SAMBALPUR |
| RP Name : | |
| Registration Number : | |
| Competent Person : | RAJARAM PADHEE |
| Qualification : | B.A. |
| Name of the Proprietor : | RAJARAM PADHEE |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 802 |
| WC : | 803 |
| WX : | 804 |
| Date of Issue : | 1/17/2011 |
| Date of Expiry : | 1/16/2016 |
| Remarks : |