| Name Of the Firm : | PRAVAT MEDICAL HALL |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-KUSUMI, DIST-SAMBALPUR |
| RP Name : | BIJAY KU RANA |
| Registration Number : | 14142 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SUJATA PATEL |
| R : | 492 |
| RC : | 493 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/21/2003 |
| Date of Expiry : | 11/20/2013 |
| Remarks : |