| Name Of the Firm : | Chandan Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Padhuan, Dist : Bhadrak Plot No.2658, Khata No.895/830 |
| RP Name : | Sri Ashutosh Behera. |
| Registration Number : | 17050(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Purna Chandra Mishra. |
| R : | BH-21614/R |
| RC : | BH-21615/RC |
| RX : | BH-7870/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 12/16/2005 |
| Date of Expiry : | 12/15/2015 |
| Remarks : | C/R Not Issued |