| Name Of the Firm : | Rebati Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Barikpurbazar, Dist:Bhadrak Plot No.99/259, Khata No.62/37 |
| RP Name : | Sri Jagannath Das |
| Registration Number : | 19048 (O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Indira Kundu. |
| R : | BH-19965/R |
| RC : | BH-19966/RC |
| RX : | BH-7043/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 6/22/2004 |
| Date of Expiry : | 6/21/2014 |
| Remarks : | C/R Not Issued |