| Name Of the Firm : | Shivsankar Medical Agency |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/PO : Agarpada, Dist. : Bhadrak. Plot No. : 1984/4099, Khata No. : 244, Room No. : 2 |
| RP Name : | -- |
| Registration Number : | -- |
| Competent Person : | Sri Ratha Charan Biswal |
| Qualification : | +2 Arts (With Experience) |
| Name of the Proprietor : | Sri Ratha Charan Biswal. |
| R : | -- |
| RC : | -- |
| RX : | -- |
| RR : | -- |
| RRC : | -- |
| W : | BH-11115/W |
| WC : | BH-11116/WC |
| WX : | BH-2669/WX |
| Date of Issue : | 2/14/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |