| Name Of the Firm : | Basanti Durga Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At / Po : Jagannathpur, Dist : Bhadrak Plot No.1769, Khata No.499/263 |
| RP Name : | Sri Bibekananda Nayak |
| Registration Number : | 11611(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bibekananda Nayak |
| R : | BH-27647/R |
| RC : | BH-27648/RC |
| RX : | BH-10836/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/27/2012 |
| Date of Expiry : | 7/26/2017 |
| Remarks : | Up to dated licence |