| Name Of the Firm : | OM MEDICAL & GENERAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | KHETRAJPUR, SAMBALPUR |
| RP Name : | SUBRAT KU MAHAPATRA |
| Registration Number : | 8858 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SEKHAR AGRAWAL |
| R : | 199 |
| RC : | 200 |
| RX : | 201 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/5/2002 |
| Date of Expiry : | 11/4/2012 |
| Remarks : | ACR 05.11.2012 TO 04.11.2017 |