| Name Of the Firm : | SUSHIL MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | DURGA PUJA MARKET COMPLEX, BUS STAND, KUCHIND, SAMBALPUR |
| RP Name : | ARUN KUMAR SAHOO |
| Registration Number : | 6924 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | NEHA AGRAWAL |
| R : | 1652 |
| RC : | 1653 |
| RX : | 1654 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/4/2011 |
| Date of Expiry : | 1/3/2016 |
| Remarks : |