| Name Of the Firm : | Basudev Medicine Store |
| Zone : | Central |
| Range : | Cuttack-I |
| Police Station : | |
| Address : | At. Plot no. 541, Khata No. 489, Holding No. 42/B, Ward no. 33, Nuapada, Madhupatna, Cuttack |
| RP Name : | Rinki Debata |
| Registration Number : | 21870/OPC |
| Competent Person : | |
| Qualification : | D.PHARMA |
| Name of the Proprietor : | Subhakanta Mohanty |
| R : | 26053 |
| RC : | 26054 |
| RX : | 10053 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/20/2010 |
| Date of Expiry : | 12/19/2015 |
| Remarks : |