| Name Of the Firm : | Sambhu Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At: Pitala Chhak, Po: Pitala,Plot No.630,Kh.No.268/17 |
| RP Name : | Udayanath Senapati |
| Registration Number : | 17207 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Samir Ranjan Das |
| R : | 2805 |
| RC : | 2806 |
| RX : | 2807 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2005.10.10 |
| Date of Expiry : | 2015.10.09 |
| Remarks : |