| Name Of the Firm : | Shihat Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Purunabazar, Dist:Bhadrak, Plot No.114, Khata No.111 |
| RP Name : | Kuwaja Faiyaj Nezami |
| Registration Number : | 8342(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Kuwaja Faiyaj Nezami |
| R : | BH-19884/R |
| RC : | BH-19885/RC |
| RX : | BH-7002/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/11/2004 |
| Date of Expiry : | 5/10/2014 |
| Remarks : | C/R Not Issued |