| Name Of the Firm : | Krutibasa Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At: Baunsalundi, Po.: Bhanjanagar,Plot No.1563/2652,Kh.No.1103/236 |
| RP Name : | Tapan Kumar Satapathy |
| Registration Number : | 10159 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Tapan Kumar Satapathy |
| R : | 4635 |
| RC : | 4636 |
| RX : | 4637 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.01.17 |
| Date of Expiry : | 2014.01.16 |
| Remarks : | Applied for renewal |