| Name Of the Firm : | H.M.M Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Dhamnagar, Dist: Bhadrak Plot No.2, Khata No.249 |
| RP Name : | Sri Basanta Ku. Barik |
| Registration Number : | 11256(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Fazle Haque Khan. |
| R : | BH-13560/R |
| RC : | BH-13561/RC |
| RX : | BH-3998/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/28/1998 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |