| Name Of the Firm : | Sisu Ananta Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1672 Khata No.41 AT-Nishamani Sarani PO-PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Sailesh Kuamr Das |
| Registration Number : | 786 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Dhiren Kumar Mishra |
| R : | 14210 |
| RC : | 14211 |
| RX : | 4323 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/13/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |