| Name Of the Firm : | SUSHANTA MEDICAL AGENCIES |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | RAJIV GANDHI MARKET COMPLEX, KAMALIBAZAR, SAMBALPUR |
| RP Name : | |
| Registration Number : | |
| Competent Person : | SUSHANTA KU BEHERA |
| Qualification : | B.COM |
| Name of the Proprietor : | SUSHANTA KU BEHERA |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 550 |
| WC : | 551 |
| WX : | 552 |
| Date of Issue : | 4/4/2003 |
| Date of Expiry : | 4/3/2013 |
| Remarks : | ACR 04.04.2013 to 03.04.2018 |