| Name Of the Firm : | SRI OM MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO--A.KATAPALI,DIST-SAMBALPUR |
| RP Name : | SANJAY KUMAR PANDA |
| Registration Number : | 8286 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SANJAY KUMAR PANDA |
| R : | 1425 |
| RC : | 1426 |
| RX : | 1427 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/15/2007 |
| Date of Expiry : | 1/14/2012 |
| Remarks : | ACR 15.01.2012 TO 14.01.2017 |