| Name Of the Firm : | Prachi Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/P.O.: Bonth, Dist : Bhadrak Plot No.3723, Khata No. 179/57 |
| RP Name : | Sri Sanjay Kumar Khatua |
| Registration Number : | 14073 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Chaturbhuja Nayak. |
| R : | BH-19969/R |
| RC : | BH-19970/RC |
| RX : | BH-7045/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 6/26/2004 |
| Date of Expiry : | 6/21/2014 |
| Remarks : | C/R Not Issued |