| Name Of the Firm : | Basudev Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Telibahali, Danagadi |
| RP Name : | Narayan Prasad Dash |
| Registration Number : | 14125 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Basanta Kumar Barik |
| R : | 23652 |
| RC : | 23653 |
| RX : | 8889 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/15/2008 |
| Date of Expiry : | 3/14/2018 |
| Remarks : |