| Name Of the Firm : | Siva Sakti Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Jahada, Via: Dharakote |
| RP Name : | Hemanta Kumar Khatai |
| Registration Number : | 18092 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Narasu Khatai |
| R : | 6576 |
| RC : | 6577 |
| RX : | 822 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1986.12.12 |
| Date of Expiry : | 1987.12.31 |
| Remarks : | Under Renewal,Recommedati on letter no 261 dt 17.02.2012 |