| Name Of the Firm : | Tribeni Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po : Panchutikri, Dist:Bhadrak Plot No.771, Khata No. 199/136 |
| RP Name : | Sri Khitish Kumar Acharya |
| Registration Number : | 23042 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Jitendranath Mohanty |
| R : | BH-26839/R |
| RC : | BH-26840/RC |
| RX : | BH-10434/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/26/2011 |
| Date of Expiry : | 9/25/2016 |
| Remarks : | Up to date Licence |