| Name Of the Firm : | Ghata Gaon Basini Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Tihidi, Dist: Bhadrak Plot No. 687, Khata No.393 |
| RP Name : | Sri Prasanta Kumar Jena |
| Registration Number : | 1582 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Narasingha Mallick |
| R : | BH-26105/R |
| RC : | BH-26106/RC |
| RX : | BH-10079/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/12/2011 |
| Date of Expiry : | 1/11/2016 |
| Remarks : | Up to date Licence |