| Name Of the Firm : | Siba Sankar Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Jagadalpur, Po: Ranital, Dist:Bhadrak, Plot No.1511, Khata No. 113 |
| RP Name : | Sri Bhagabat Das |
| Registration Number : | 16946 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Chittaranjan Panda. |
| R : | BH-23564/R |
| RC : | BH-23565/RC |
| RX : | BH-8845/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/22/2008 |
| Date of Expiry : | 2/21/2013 |
| Remarks : | Not Applied for Renewal |