| Name Of the Firm : | Dadhibaman Jew Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /P.O : Rajagharpokhari, Dist : Bhadrak Plot No. 1256/2229, Khata No. 202 |
| RP Name : | Sri Tapan Ku. Mohanty |
| Registration Number : | 8066 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Prafulla Kumar Panda |
| R : | BH-26857/R |
| RC : | BH-26858/RC |
| RX : | BH-10443 /RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/19/2011 |
| Date of Expiry : | 10/18/2016 |
| Remarks : | Up to dated Licence |