| Name Of the Firm : | Brundaban Pharmaceuticals |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 109/842, Kh No- 255/101, Room No- 1, At- Khellar, Po- Rench,Dist-Puri |
| RP Name : | - |
| Registration Number : | - |
| Competent Person : | Brundaban Bihari Das |
| Qualification : | B.A |
| Name of the Proprietor : | Brundaban Bihari Das |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | 17223 |
| WC : | 17224 |
| WX : | 5950 |
| Date of Issue : | 5/4/2012 |
| Date of Expiry : | 5/3/2017 |
| Remarks : |