| Name Of the Firm : | SUBHOM MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT- GURUPADA CHOWK, SAN SADAK, SAMBALPUR |
| RP Name : | SMT. SANGHAMITRA JENA |
| Registration Number : | 9126 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | ANJALI PANDA |
| R : | 1724 |
| RC : | 1725 |
| RX : | 1726 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/4/2012 |
| Date of Expiry : | 12/3/2017 |
| Remarks : |