| Name Of the Firm : | Dayal Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po:Anandabazar, Dist: Bhadrak Plot No.496, Khata No.280 |
| RP Name : | Sri Suresh Ch. Sahoo |
| Registration Number : | 14986(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Suresh Ch. Sahoo. |
| R : | BH-20542/R |
| RC : | BH-20543/RC |
| RX : | BH-7333/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 12/28/2004 |
| Date of Expiry : | 12/27/2014 |
| Remarks : | C/R Not Issued |