| Name Of the Firm : | Siba Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1550, Khata No.- 379, Madanpur, Kalahandi |
| RP Name : | Sri Sudhansu Bhusan Behera |
| Registration Number : | 16779 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Mohan Sahu |
| R : | 4131 |
| RC : | 4132 |
| RX : | 4133 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2/14/2008 |
| Date of Expiry : | 2/13/2013 |
| Remarks : | Not Yet Appied for R.P Change and C/R |