| Name Of the Firm : | Basudev Medicine Store, |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | plot no-810,kh no-599,At/Po-Nuapalam, P.S.-Niali, Ctc. |
| RP Name : | Bibhu Prasad Parida, |
| Registration Number : | 19037/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Dipak Kumar Dash |
| R : | CU23562/R, |
| RC : | CU23563/RC, |
| RX : | CU8844/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/26/2008 |
| Date of Expiry : | 2/25/2013 |
| Remarks : |