| Name Of the Firm : | Shivananda Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 11/170, Khata No.- 10/81, At.- Sitabordi pada, Po.-Bhawanipatna, kalahandi |
| RP Name : | Jitendra Kumar Biswal |
| Registration Number : | 16270 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sangram Kishori Behera |
| R : | 3016 |
| RC : | 3017 |
| RX : | 3018 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2/14/2006 |
| Date of Expiry : | 2/13/2016 |
| Remarks : | Applied for C/R |