| Name Of the Firm : | MAA TARINI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-LANGBAHAL, DIST-SAMBALPUR |
| RP Name : | SANJIB KU KALO |
| Registration Number : | 16533 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | HARAPRIYA BAGH |
| R : | 1354 |
| RC : | 1355 |
| RX : | 1356 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/1/2007 |
| Date of Expiry : | 8/30/2012 |
| Remarks : | ACR 01.09.2012 TO 30.08.2017 |