| Name Of the Firm : | Basanti Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Uttarkul Chhak |
| RP Name : | Annaprava Mishra |
| Registration Number : | 16201 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Badri Narayan Panda |
| R : | 20753 |
| RC : | 20754 |
| RX : | 7440 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/28/2005 |
| Date of Expiry : | 2/27/2015 |
| Remarks : | C/R Recommended |