| Name Of the Firm : | Subudhi Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/Po-Rayagada, P. No- 1530, K. no- 388 |
| RP Name : | Pramoda Ku. Behera Regd.No-21960/OPC |
| Registration Number : | Regd.No-21960/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sidhartha Sankar Subudhi (Prop) |
| R : | 6850 |
| RC : | 6851 |
| RX : | 953 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/1/2003 |
| Date of Expiry : | 31.12.16 |
| Remarks : |