Name Of the Firm :	SAMALAI MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	HOSPITAL ROAD, SAMBALPUR
RP Name :	DILLIP KUMAR PATRA
Registration Number :	2483
Competent Person :
Qualification :
Name of the Proprietor :	RAJENDRA KU GURU
R :	40
RC :	41
RX :	42
RR :
RRC :
W :
WC :
WX :
Date of Issue :	12/1/1989
Date of Expiry :	12/31/2012
Remarks :	ACR