| Name Of the Firm : | Shanti Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 663, Khata No- 249/48, At/po- Timanpur |
| RP Name : | Ajaya Kumar Chhuria |
| Registration Number : | 21975 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Deepak Kumar Agrawal |
| R : | SL-NU-4887R |
| RC : | SL-NU-4888Rc |
| RX : | SL-NU-4889Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/6/2009 |
| Date of Expiry : | 6/5/2014 |
| Remarks : |