| Name Of the Firm : | PUNAM MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO- KUTURACHUAN, PS- KUCHINDA, DIST- SAMBALPUR |
| RP Name : | BIKASH KU CHAUDHURY |
| Registration Number : | 7460 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | NABARATNA NAIK |
| R : | 1691 |
| RC : | 1692 |
| RX : | 1693 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/24/2012 |
| Date of Expiry : | 1/23/2017 |
| Remarks : |