| Name Of the Firm : | Basudev Medicine store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 3403, Kh. No- 143, At/PO- Gop, Puri |
| RP Name : | Anusaya Behera |
| Registration Number : | 23506 |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Netrananda Das |
| R : | 14868R |
| RC : | 14869 |
| RX : | 4651 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/5/2000 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |