Name Of the Firm :	MANSA MEDICAL HALL
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	P.H.C. NEW, DHAMA, SAMBALPUR
RP Name :	SANJAY KU SAHU RAJESH KU DEHURY
Registration Number :	12043 19404
Competent Person :
Qualification :
Name of the Proprietor :	LOKANATH MISHRA
R :	778
RC :	779
RX :	780
RR :
RRC :
W :
WC :
WX :
Date of Issue :	4/14/2005
Date of Expiry :	4/13/2010
Remarks :	ACR 14.04.2010 TO 13.04.2015.