| Name Of the Firm : | Basanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Dhamara, Dist:Bhadrak Plot No.265/681, Khata No.167/23 |
| RP Name : | Sri Trupti Ranjan Sethy |
| Registration Number : | 18296 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Duryadhan Rout. |
| R : | BH-23524/R |
| RC : | BH-23525/RC |
| RX : | BH-8826/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/19/2008 |
| Date of Expiry : | 2/18/2013 |
| Remarks : | Not Applied for renewal |