| Name Of the Firm : | PRAKASH MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | U.G.P.H.C. HOSPITAL CAMPUS FASIMAL, JAMANKIRA, SAMBALPUR |
| RP Name : | SMT. SUNANDA PATEL MANOJ KU NANDA |
| Registration Number : | 16243 19288 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SUNANDA PATEL |
| R : | 1532 |
| RC : | 1533 |
| RX : | 1534 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/10/2008 |
| Date of Expiry : | 11/9/2013 |
| Remarks : |