| Name Of the Firm : | Shifa Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Banta, Dist : Bhadrak Plot No.1042, Khata No.112 |
| RP Name : | Osim Yazddri Quadri |
| Registration Number : | 16100 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Taha Sayed Khalid. |
| R : | BH-20391/R |
| RC : | BH-20392/RC |
| RX : | BH-7257/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/3/2004 |
| Date of Expiry : | 11/2/2014 |
| Remarks : | C/R Not Issued |