| Name Of the Firm : | Subham Medical Hall |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.305 Khata No.48 AT-Anko PO-Jamugaon PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Lilen Mohanty |
| Registration Number : | 17233 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sisir Kumar Parida |
| R : | 25335 |
| RC : | 25336 |
| RX : | 9726 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/5/2010 |
| Date of Expiry : | 4/4/2015 |
| Remarks : |