| Name Of the Firm : | Siba Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | ,New Bus Stand,Brahmagiri,Puri |
| RP Name : | Sri Sanjeev Kumar |
| Registration Number : | 18633/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sribatsch Ku. Jally |
| R : | 23186 |
| RC : | 23187 |
| RX : | 8660 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/22/2007 |
| Date of Expiry : | 10/21/2017 |
| Remarks : |