| Name Of the Firm : | SUJATA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT- MAHARAPARA, PO- BARBAZAR, SAMBALPUR |
| RP Name : | PADMA LOCHAN ACHARYA |
| Registration Number : | 1638 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SMT. SUJATA PATEL |
| R : | 1709 |
| RC : | 1710 |
| RX : | 1711 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/1/2012 |
| Date of Expiry : | 5/31/2017 |
| Remarks : |