| Name Of the Firm : | S.A. MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT-GODBHAGA CAMP, PO-KALAMATI, DIST-SAMBALPUR |
| RP Name : | BAJRANG AGRAWAL |
| Registration Number : | 4779 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | RAJ NARAYAN NAYAK |
| R : | 1196 |
| RC : | 1197 |
| RX : | 1198 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/30/2003 |
| Date of Expiry : | 4/29/2013 |
| Remarks : | ACR UP TO 29.04.2018 |