| Name Of the Firm : | Shital Medicine Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po-Chandpur Pl.No528,Khat.No815 Dist-Nayagarh |
| RP Name : | Sri Rajendra Gumansingh |
| Registration Number : | 6008 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Padarabinda Panigrahi |
| R : | 21233 |
| RC : | 21234 |
| RX : | 7680 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/31/2012 |
| Date of Expiry : | 8/18/2015 |
| Remarks : |