| Name Of the Firm : | Baladev Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At: Main Road, Buguda, Po: Buguda |
| RP Name : | Ambika Prasad Panda |
| Registration Number : | 20799 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ambika Prasad Panda |
| R : | 4860 |
| RC : | 4861 |
| RX : | 4862 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.06.04 |
| Date of Expiry : | 2014.06.03 |
| Remarks : |