| Name Of the Firm : | Basudev Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Badagada.Plot No.2377,Kh.No.1574 |
| RP Name : | Ch. Basudeba Patro |
| Registration Number : | 11726 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ch. Basudeba Patro |
| R : | 3438 |
| RC : | 3439 |
| RX : | 3440 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2006.10.11 |
| Date of Expiry : | 2016.11.09 |
| Remarks : |