| Name Of the Firm : | Basudha Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.Sadasibpur:Kalamba Chhaka, Ballipadar,Plot No.115,Kh.No.49 |
| RP Name : | Dillip Ku Mishra |
| Registration Number : | 5309 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Dipti Bardhan Khadanga |
| R : | 493 |
| RC : | 494 |
| RX : | 246 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1998.07.30 |
| Date of Expiry : | 2016.31.12 |
| Remarks : |