| Name Of the Firm : | Mamata Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Barikchhak, Po: Ganjaibadi, Dist: Bhadrak Plot No. 1373, Khata No.694 |
| RP Name : | Sri Susanta Ku. Sahoo |
| Registration Number : | 10810(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Susanta Ku. Sahoo. |
| R : | BH-14548/R |
| RC : | BH-14549/RC |
| RX : | BH-4491/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/4/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |