| Name Of the Firm : | Banalata Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Sabarang, Dist:Bhadrak, Plot No.2422, Khata No.593 |
| RP Name : | Sri Debadatta Das |
| Registration Number : | 10857(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Debadatta Das |
| R : | BH-22922/R |
| RC : | BH-22923/RC |
| RX : | BH-8528/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/5/2007 |
| Date of Expiry : | 7/4/2017 |
| Remarks : | C/R Not Issued |