| Name Of the Firm : | Mandakini Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Sahidnagar, Dist: Bhadrak Plot No.1361, Khata No.385 |
| RP Name : | Sri Gyana Ranjan Padhi |
| Registration Number : | 17173(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Chandrabhanu Das |
| R : | BH-14128/R |
| RC : | BH-14129/RC |
| RX : | BH-4282/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 3/12/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |