| Name Of the Firm : | Basanta Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-L/554, Phase-2, Dumduma HB Colony, BBSR |
| RP Name : | Biraja Prasad Mohanty |
| Registration Number : | 12872/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Biraja Prasad Mohanty |
| R : | 23620 |
| RC : | 23261 |
| RX : | 8873 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 3/14/2008 |
| Date of Expiry : | Applied for C/R 14-03-13 to 13-03-17 |
| Remarks : | Sent to Directorate / L.No. 790 dt. 21-6-13 |