| Name Of the Firm : | Basanti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Januganj, P.O. : Madhabnagar, Dist. : Bhadrak Plot No. : 617, Khata No. : 208 |
| RP Name : | Sri Dillip Kumar Sahoo |
| Registration Number : | 8586 (O.P.C) |
| Competent Person : | -- |
| Qualification : | -- |
| Name of the Proprietor : | Sri Ajay Kumar Rout |
| R : | BH-29347/R |
| RC : | BH-29348/RC |
| RX : | BH-11687/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2014.04.11 |
| Date of Expiry : | 2019.04.10 |
| Remarks : | Up to date Licence |