| Name Of the Firm : | Shanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Kuansha, Po/Dist : Bhadrak Plot No.750, Khata No.181 |
| RP Name : | Sri Rudranarayan Barik |
| Registration Number : | 13033 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sanjeeb Kumar Mohanty. |
| R : | BH-18178/R |
| RC : | BH-18179/RC |
| RX : | BH-5818/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/8/2002 |
| Date of Expiry : | 10/7/2017 |
| Remarks : | C/R Not issued |