Name Of the Firm :	PRAKASH MEDICLINIC
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	ASHOKATALKIES ROAD, V.S.S. MARG,SAMBALPUR
RP Name :	JHASKETAN NAYAK
Registration Number :	9352
Competent Person :
Qualification :
Name of the Proprietor :	PRAKASH CH. MEHER
R :	906
RC :	907
RX :	908
RR :
RRC :
W :
WC :
WX :
Date of Issue :	4/19/1999
Date of Expiry :	12/31/2012
Remarks :	ACR 2013-2017