| Name Of the Firm : | Hazee Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At: Bajatala(Puruna Bazar), Po/Dist: Bhadrak Plot No. 630, Khata No. 605 |
| RP Name : | Sri Ranjit Parida |
| Registration Number : | 21952(OPC) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Mirza Rizwana Baig. |
| R : | BH-14402/R |
| RC : | BH-14403/RC |
| RX : | BH-4418/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 8/3/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not issued |