| Name Of the Firm : | Lucky Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At:Samaraipur, Po/Dist:Bhadrak, Plot No.884, Khata No.284 |
| RP Name : | Sri Surendra Ku. Tripathy |
| Registration Number : | 974(O.P.C) |
| Competent Person : | -- |
| Qualification : | Pharmacist |
| Name of the Proprietor : | Sri Purnamadhab Pani |
| R : | BH-19902/R |
| RC : | BH-19903/RC |
| RX : | BH-7011/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/25/2004 |
| Date of Expiry : | 5/24/2014 |
| Remarks : | C/R Not Issued |