| Name Of the Firm : | Shiva Sankar Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Dharakote,Plot No.1121,Kh.No.449 |
| RP Name : | V. Prabhasini Raju |
| Registration Number : | 22551 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | M. Pradeep Kumar Patra |
| R : | 8467 |
| RC : | 8468 |
| RX : | 1508 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1990.04.05 |
| Date of Expiry : | 2011.12.31 |
| Remarks : | Under Renewal,Recommedati on letter no 275dt27.02.2012 |