| Name Of the Firm : | SANJIVANEE MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-THELKOLI, DIST-SAMBALPUR |
| RP Name : | NO RP |
| Registration Number : | |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | RANJIT KU MAJHI |
| R : | 1254 |
| RC : | 1255 |
| RX : | 1256 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/27/2009 |
| Date of Expiry : | 4/27/2009 |
| Remarks : | No R.P. w.e.f. 06.06.2011. ACR 28.04.2009 TO 27.04.2014 |