| Name Of the Firm : | Shankar Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Holding No. 500, Ward No. 08, At/P.O.- Purushottampur |
| RP Name : | Soraj Kumar Das |
| Registration Number : | 10743 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Arta Trana Gouda |
| R : | SLGAII-1609 |
| RC : | SLGAII-1610 |
| RX : | SLGAII-1611 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |