| Name Of the Firm : | Sivasankar Medical & General Storei |
| Zone : | SOUTH |
| Range : | GAJAPATI |
| Police Station : | |
| Address : | At/Po- K. Sitapur, P.No- 439, K.No- 17 |
| RP Name : | Ayodhyanath Lenka Regd.No-9296/OPC |
| Registration Number : | 9296 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | B.Trilochan Rao (Prop) |
| R : | 3 |
| RC : | 4 |
| RX : | 2 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/18/1905 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |