| Name Of the Firm : | Basanti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po : Pirahat, Dist:Bhadrak Plot No.1871, Khata No.270 |
| RP Name : | Sri Tarun Ku. Rout |
| Registration Number : | 18967(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bishnu Mohan Pani. |
| R : | BH-23016/R |
| RC : | BH-23017/RC |
| RX : | BH-8575/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/6/2007 |
| Date of Expiry : | 9/5/2017 |
| Remarks : | C/R Not Issued |