| Name Of the Firm : | Basanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Bilana, Po:Galagandapur, Dist: Bhadrak Plot No.1605, Khata No.671 |
| RP Name : | Sri Gokulananda Pati |
| Registration Number : | 9315(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sachidananda Pati. |
| R : | BA-10468/R |
| RC : | BA-10469/RC |
| RX : | BA-2455/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/20/1993 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |