| Name Of the Firm : | Sree Shyam Sankar Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po : Pirahat, Dist : Bhadrak Plot No.7, Khata No.101 |
| RP Name : | Sri Debansu Kar |
| Registration Number : | 7360 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Debansu Kar. |
| R : | BH-16412/R |
| RC : | BH-16413/RC |
| RX : | BH-5422/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/17/2001 |
| Date of Expiry : | 10/16/2016 |
| Remarks : | C/R Not Issued |