| Name Of the Firm : | Shantilata Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Pirahat, Dist : Bhadrak Plot No.1021/1675, Khata No.330/160 |
| RP Name : | Sri Debabrata Panda |
| Registration Number : | 20808 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Santosh Ku. Mohanty |
| R : | BH-24204/R |
| RC : | BH-24205/RC |
| RX : | BH-9161/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/19/2008 |
| Date of Expiry : | 11/18/2013 |
| Remarks : | Up to date Licence |