| Name Of the Firm : | Siva Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Kullada, via: Bhanjanagar, |
| RP Name : | A.Pradeep Kumar Patro |
| Registration Number : | 3539 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | A.Pradeep Kumar Patro |
| R : | 65 |
| RC : | 66 |
| RX : | 34 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1993.06.26 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |