| Name Of the Firm : | Maa Tarini Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Ganijang, Dist:Bhadrak Plot No.117, Khata No.614/167 |
| RP Name : | Chinmayee Sahoo |
| Registration Number : | 25796 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Narayan Chandra Dash |
| R : | BH-21312/R |
| RC : | BH-21313/RC |
| RX : | BH-7720/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/15/2005 |
| Date of Expiry : | 9/14/2015 |
| Remarks : | C/R Not Issued |