| Name Of the Firm : | Sivasakti Medicine Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po- Banamalipur Patana Khandapada Dist-Nayagarh |
| RP Name : | Sri Saumya Prakash Rout |
| Registration Number : | 14921 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Shantilata Sahoo |
| R : | 21428 |
| RC : | 21429 |
| RX : | 7778 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/17/2010 |
| Date of Expiry : | 4/6/2014 |
| Remarks : |