| Name Of the Firm : | K.G.N Meidicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Purunabazar, Dist:Bhadrak Plot No.10, Khata No.545 |
| RP Name : | Sri Soubhagya Manjaari Nayak |
| Registration Number : | 15395(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Abu Hussain Khan. |
| R : | BH-20241/R |
| RC : | BH-20242/RC |
| RX : | BH-7182/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/17/2004 |
| Date of Expiry : | 9/16/2014 |
| Remarks : | C/R Not Issued |