| Name Of the Firm : | Sibasakti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Bonth, Dist : Bhadrak Plot No.575, Khata No.169 |
| RP Name : | Sri Pravakar Behera |
| Registration Number : | 12499 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ashok Ku. Sahu |
| R : | BH-12719/R |
| RC : | BH-12720/RC |
| RX : | BH-3576/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/5/1997 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |