| Name Of the Firm : | Shanti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Baralapokhari, Po: Charampa, Dist: Bhadrak Plot No. 3462, Khata No. 984 |
| RP Name : | Sri Jagannath Ghadei |
| Registration Number : | 11676(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Rajkishore Mishra |
| R : | BH-15626/R |
| RC : | BH-15627/RC |
| RX : | BH-5029/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/10/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |