Name Of the Firm :	SAMALESWARI MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	1R COLONY BURLA, NEAR CHILDREN WORD, SAMBALPUR
RP Name :	MAYADHAR SATPATHY
Registration Number :	1268
Competent Person :
Qualification :
Name of the Proprietor :	SIDDHARTHA DIP
R :	753
RC :	754
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	1/1/2003
Date of Expiry :	12/31/2012
Remarks :	ACR 2013-2017