| Name Of the Firm : | VIKASH MEDICAL AGENCY |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-KUCHINDA,DIST-SAMBALPUR |
| RP Name : | |
| Registration Number : | |
| Competent Person : | VIKASH CH AGRAWAL |
| Qualification : | H.S.C |
| Name of the Proprietor : | VIKASH CH AGRAWAL |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 697 |
| WC : | 698 |
| WX : | 699 |
| Date of Issue : | 9/25/2012 |
| Date of Expiry : | 9/24/2017 |
| Remarks : |