| Name Of the Firm : | SHREE SHAKTI MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | BARABAZAR, SAMBALPUR |
| RP Name : | SASADHARA SAHOO |
| Registration Number : | 13120 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | DILLIP KU AGRAWAL |
| R : | 1131 |
| RC : | 1132 |
| RX : | 1133 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/17/2002 |
| Date of Expiry : | 5/16/2012 |
| Remarks : | ACR 17.05.2012 TO 16.05.2017 |