| Name Of the Firm : | SAHASPUR MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-SAHASPUR, DIST-SAMBALPUR |
| RP Name : | SANTOSH KUMAR PRADHAN |
| Registration Number : | 11779 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SANTOSH KUMAR PRADHAN |
| R : | 1320 |
| RC : | 1321 |
| RX : | 1322 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/6/2005 |
| Date of Expiry : | 4/5/2010 |
| Remarks : | ACR UP TO 05.04.2015 |