| Name Of the Firm : | MISHRA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-MAHULPALI, DIST-SAMBALPUR |
| RP Name : | SANJJAY KUMAR KISHAN |
| Registration Number : | 15629 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | PRAMOD KU MISHRA |
| R : | 1212 |
| RC : | 1213 |
| RX : | 1214 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/3/2003 |
| Date of Expiry : | 9/2/2013 |
| Remarks : |