| Name Of the Firm : | Ambika Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /P.O. : Kothar, Dist. : Bhadrak Plot No. : 811, Khata No. : 295 |
| RP Name : | Smt. Mamata Das Adhikari |
| Registration Number : | 22378(O.P.C) |
| Competent Person : | -- |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Smt. Sujata Nandini Sahoo |
| R : | BH-28595/R |
| RC : | BH-28596/RC |
| RX : | BH-11310 /RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2013.08.24 |
| Date of Expiry : | 2018.08.23 |
| Remarks : | Up to date Licence |