| Name Of the Firm : | Kalyan Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Chandabali, Dist: Bhadrak Plot No. 397, Khata No.127 |
| RP Name : | Sri Manoj Ku. Nayak |
| Registration Number : | 10860(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pawan Ku. Agarwalla. |
| R : | BH-8938/R |
| RC : | BH-8939/RC |
| RX : | BH-1713/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/8/1991 |
| Date of Expiry : | 12/31/2012 |
| Remarks : | C/R Not Issued Not Applied for Renewal |