| Name Of the Firm : | Subham Medical Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | at/Po- Mangarajpur Pl.No748/1819,Khat.No-220/12 Po- Rajranapur Dist-Nayagarh |
| RP Name : | Sri Basant Kumar Samantary |
| Registration Number : | 19423 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Nakul Chandra Das |
| R : | 238101 |
| RC : | 23811 |
| RX : | 8967 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/8/2008 |
| Date of Expiry : | 7/20/2013 |
| Remarks : |