| Name Of the Firm : | Sai Sankar Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Tihidi, Dist:Bhadrak Plot No.258, Khata No.796 |
| RP Name : | Sri Narottam Mohanta |
| Registration Number : | 13988 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Suresh Ch. Biswal. |
| R : | BH-20803/R |
| RC : | BH-20804/RC |
| RX : | BH-7465/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 3/16/2005 |
| Date of Expiry : | 3/15/2015 |
| Remarks : | C/R Not Issued |