| Name Of the Firm : | Basanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Narasinghpur, Dist: Bhadrak Plot No.1018, Khata No.308 |
| RP Name : | Sri Sudhansu Sekhar Panda |
| Registration Number : | 10791(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pratap Ku. Parhi. |
| R : | BH-14650/R |
| RC : | BH-14651/RC |
| RX : | BH-4542/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/1/2008 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |