| Name Of the Firm : | Sivananda Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Holding no-15938,Word no-24, New Bus Stand Road,Berhampur |
| RP Name : | Sri P.Santosh Kumar Patro, |
| Registration Number : | 16812 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri P.Santosh Kumar Patro |
| R : | GAI9128 |
| RC : | GAI9129 |
| RX : | GAI1797 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1991.04.30 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |