| Name Of the Firm : | Matrukrupa Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /P.O : Kamariabazar, Dist : Bhadrak Plot No. 889, Khata No. 313 |
| RP Name : | Sri Biswajit Pradhan |
| Registration Number : | 18946(O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Rabi Narayan Sahoo. |
| R : | BH-20333/R |
| RC : | BH-20334/RC |
| RX : | BH-7228/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/12/2004 |
| Date of Expiry : | 10/11/2014 |
| Remarks : | C/R Not Issued |