| Name Of the Firm : | Basant Medical Agency |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/P.o-Odagaon Dist- Nayagarh |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Sri Basant Kumar Senapati |
| Qualification : | Matriculation |
| Name of the Proprietor : | Sri Basant Kumar Senapati |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 7670 |
| WC : | 7671 |
| WX : | 1113 |
| Date of Issue : | 6/10/1993 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |