| Name Of the Firm : | Subham Medical Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po-Banamalipur Pl.No1181,Kh.No564 Dist-Nayagarh |
| RP Name : | Sri Prafulla Kumar Mishra |
| Registration Number : | 23853 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Shri Surendra Kumar Sahoo |
| R : | 21562 |
| RC : | 21563 |
| RX : | 7844 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/28/2012 |
| Date of Expiry : | 11/22/2015 |
| Remarks : |