| Name Of the Firm : | SAMALESWARI MEDICAL HALL |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | GANESH NAGAR, PATHAN BANDH, BURLA, SAMBALPUR |
| RP Name : | JYOTI PRAKASH SAMAL |
| Registration Number : | 12731 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SMT. SAGARIKA PRADHAN |
| R : | 1517 |
| RC : | 1518 |
| RX : | 1519 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/2/2008 |
| Date of Expiry : | 12/1/2013 |
| Remarks : |