| Name Of the Firm : | Basudev Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Pl. No- 3360, Kh. No- 633, At/PO- Andhia, PO- Nimapara, Puri |
| RP Name : | Sri Subhanwesh Swain |
| Registration Number : | 6949/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Subhanwesh Swain |
| R : | 14266 |
| RC : | 14267 |
| RX : | 4351 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/21/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |