| Name Of the Firm : | Shiva Shakti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/P.O: Aruha, Dist : Bhadrak Plot No.2529, Khata No.584/232 |
| RP Name : | Sri Ajaya Kumar Rout |
| Registration Number : | 19309(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Baidyanath Swain |
| R : | BH-27415/R |
| RC : | BH-27416/RC |
| RX : | BH-10720/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/31/2012 |
| Date of Expiry : | 5/30/2017 |
| Remarks : | Up to dated Licence |