| Name Of the Firm : | Shiva Shakti Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.662/1245 Khata No.102/6 AT-Badadehilo PO-Pally PS-DIST-Jagatsinghpur. |
| RP Name : | Shyam Sundar Panda |
| Registration Number : | 9802 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Krushna Chandra Mishra |
| R : | 14740 |
| RC : | 14740 |
| RX : | 4587 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/4/2000 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |