| Name Of the Firm : | SURAKSHYA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | SAMARPAN CHILDREN HOSPITAL, SAKHIPARA, SAMBALPUR |
| RP Name : | RANGADHARA MISHRA |
| Registration Number : | 23798 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SUNITA VARMA |
| R : | 1673 |
| RC : | 1674 |
| RX : | 1675 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/28/2011 |
| Date of Expiry : | 5/27/2016 |
| Remarks : |