| Name Of the Firm : | Siva Shakti Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 391, Survey No. 135/5, At/P.O.- Dhunka Pada |
| RP Name : | Akhaya Kumar Panigrahi |
| Registration Number : | 14110 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Nilanchala Jena |
| R : | SLGAII-4791 |
| RC : | SLGAII-4792 |
| RX : | SLGAII-4793 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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