| Name Of the Firm : | TAJ MEDICINE STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | CHRISTIAN PARA, NEAR CHURCH, SAMBALPUR |
| RP Name : | KAILASH CHANDRA MAHARANA |
| Registration Number : | 11863 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | MD.SIAUL HUSSAIN |
| R : | 1502 |
| RC : | 1503 |
| RX : | 1504 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/5/2008 |
| Date of Expiry : | 8/4/2013 |
| Remarks : |