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Classic data envelopment analysis (DEA) is a linear programming method for evaluating the relative efficiency of decision making units (DMUs) that uses multiple inputs to produce multiple outputs. In the classic DEA model inputs and outputs of DMUs are deterministic, while in the real world, are often fuzzy, random, or fuzzy-random. Many researchers have proposed different approaches to evaluate the relative efficiency with fuzzy and random data in DEA. In many studies, the most productive scale size (mpss) of decision making units has been estimated with fuzzy and random inputs and outputs. Also, the concept of fuzzy random variable is used in the DEA literature to describe events or occurrences in which fuzzy and random changes occur simultaneously. This paper has proposed the fuzzy stochastic DEA model to assess the most productive scale size of DMUs that produce multiple fuzzy random outputs using multiple fuzzy random inputs with respect to the possibility-probability constraints. For solving the fuzzy stochastic DEA model, we obtained a nonlinear deterministic equivalent for the probability constraints using chance constrained programming approaches (CCP). Then, using the possibility theory the possibilities of fuzzy events transformed to the deterministic equivalents with definite data. In the final section, the fuzzy stochastic DEA model, proposed model, has been used to evaluate the most productive scale size of sixteen Iranian hospitals with four fuzzy random inputs and two fuzzy random outputs with symmetrical triangular membership functions.