| Name Of the Firm : | Basudev Medical Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Rambag |
| RP Name : | Narendra Ku. Samal |
| Registration Number : | 5250 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Upendra Kumar Panda |
| R : | 13316 |
| RC : | 13317 |
| RX : | 3877 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/10/1998 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Recommended |