| Name Of the Firm : | Baistnabadevi Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 68, Khata No- 338/69, At- Udyanbandha, po- Kureswar |
| RP Name : | Asit Kumar Rout |
| Registration Number : | 17854 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Asit Kumar Rout |
| R : | SL-NU-4308R |
| RC : | SL-NU-4309Rc |
| RX : | SL-NU-4310Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/11/2008 |
| Date of Expiry : | 7/10/2013 |
| Remarks : | Applied for Renewal |