| Name Of the Firm : | Shiva Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 685, Khata No.- 14, Bijmara, Kalahandi |
| RP Name : | Sri Sukanta Kumar Panda |
| Registration Number : | 15055 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt. Nilima panda |
| R : | 4052 |
| RC : | 4053 |
| RX : | 4054 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/10/2008 |
| Date of Expiry : | 1/9/2018 |
| Remarks : | Applied for C/R |