| Name Of the Firm : | Shyam Sundar Medicine Store |
| Zone : | Central |
| Range : | Cuttack-I |
| Police Station : | |
| Address : | At. Holding No. 301/B/7, WARD No. 02, Plot No. 519, Khata No. 8, Deula Sahi, Po. Tulasipur, Cuttack |
| RP Name : | Labanyendu Das |
| Registration Number : | 13009/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Biswa Ranjan Mohanty |
| R : | 23240 |
| RC : | 23241 |
| RX : | 8687 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/14/2007 |
| Date of Expiry : | 11/13/2017 |
| Remarks : |