| Name Of the Firm : | Basanti Durga Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Tiadisahi, Dist: Bhadrak Plot No.1681, Khata No.485 |
| RP Name : | Sri Ratikanta Panda |
| Registration Number : | 13966 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pradipta Kumar Misra |
| R : | BH-21702/R |
| RC : | BH-21703/RC |
| RX : | BH-7914/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/21/2016 |
| Date of Expiry : | 1/20/2016 |
| Remarks : | C/R Not Issued |