| Name Of the Firm : | Basanti Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Basudevpur, Dist: Bhadrak Plot No.528, Khata No.1311 |
| RP Name : | Sri Banibrata Bardhan |
| Registration Number : | 6765(O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Kamalakanta Panda. |
| R : | BA-11176/R |
| RC : | BA-11177/RC |
| RX : | BA-2808/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 12/29/1994 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |