| Name Of the Firm : | Shiv Shankar Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 788, Khata No.- 26, Dudukathenga, kalahandi |
| RP Name : | Sri Subhendu Kumar panda |
| Registration Number : | 23717 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Nishith Kumar panda |
| R : | 5412 |
| RC : | 5413 |
| RX : | 5414 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 7/16/2010 |
| Date of Expiry : | 7/15/2015 |
| Remarks : | G.D.L |