| Name Of the Firm : | Siva Drug House, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At-Nuagada, P.No- 771, k no- 269 |
| RP Name : | Sri Santosh Ku. Panda Regd No.23067/OPC |
| Registration Number : | RegdNo.23067/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri Gopal Chandra Das (Prop.) |
| R : | 81 |
| RC : | 82 |
| RX : | 44 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/11/1994 |
| Date of Expiry : | 11/30/2016 |
| Remarks : |