| Name Of the Firm : | Basanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Tihidi, Dist: Bhadrak G.P.Market Complex, Plot No. 2398, Khata No.974 Room No.2 |
| RP Name : | Sri Pradeep Kumar Singh |
| Registration Number : | 15870 |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Damodar Patra. |
| R : | BA-7656/R |
| RC : | BA-7657/RC |
| RX : | BA-1221/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/1/2012 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | Change of premises w.e.f. 01.01.2012 not granted |