| Name Of the Firm : | Shiva Shakti Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 149,Kh No-128,At-Rench,Dist-Puri |
| RP Name : | Sri Manas Ranjan Sahoo |
| Registration Number : | 20664/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Sujaya Kumar Pradhan |
| R : | 15584 |
| RC : | 15585 |
| RX : | 4988 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/13/2000 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |