| Name Of the Firm : | SAMALAI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-KUNTARA, DIST-SAMBALPUR |
| RP Name : | LINGARAJ SAHU |
| Registration Number : | 21191 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SOURENDRI PATEL |
| R : | 1493 |
| RC : | 1494 |
| RX : | 1495 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/21/2009 |
| Date of Expiry : | 4/20/2014 |
| Remarks : |