| Name Of the Firm : | Shiv Shankar Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 99, Khata No.- 128, At./Po.- Dumerguda, , Kalahandi |
| RP Name : | Sri Sumit Kumar Mund |
| Registration Number : | 23920 |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Smt. Sarita Naik |
| R : | 7663 |
| RC : | 7664 |
| RX : | 7665 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 13/05/2014 |
| Date of Expiry : | 5/12/2019 |
| Remarks : | G.D.L Vide DDC Lt.No.1837/dt.13.05.2014 |