| Name Of the Firm : | NISITH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-RENGALI, DIST-SAMBALPUR |
| RP Name : | PAWAN KUMAR SAH |
| Registration Number : | 16558 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SANTOSH KU SINGH |
| R : | 1712 |
| RC : | 1713 |
| RX : | 1714 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/10/2012 |
| Date of Expiry : | 10/9/2017 |
| Remarks : |