| Name Of the Firm : | Bande Purusottam Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Plot No. 285/1567, Kh. No 213/302, Main Road, Balugaon, Khurda |
| RP Name : | Sri Jagan Mohan Dalai |
| Registration Number : | 5441/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Smt. Sandhya Rani Jena |
| R : | KH 22706 |
| RC : | KH 22707 |
| RX : | KH 8421 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/2/2007 |
| Date of Expiry : | 4/1/2017 |
| Remarks : |