| Name Of the Firm : | PRADHAN MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-DAINCHA, DIST-SAMBALPUR |
| RP Name : | BISWAMBARA MAHARANA |
| Registration Number : | 11321 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SAMBITA SATYA SEKHAR PRADHAN |
| R : | 1296 |
| RC : | 1297 |
| RX : | 1298 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/9/2004 |
| Date of Expiry : | 12/8/2014 |
| Remarks : |