| Name Of the Firm : | Maa Basuli Medicine store |
| Zone : | Central |
| Range : | Kendrapara |
| Police Station : | |
| Address : | At-Santasahi,P.o-Kendrpara. |
| RP Name : | Rashmi Prakash Mohanty |
| Registration Number : | Regn.no.-16349/opc |
| Competent Person : | |
| Qualification : | B-Pharm |
| Name of the Proprietor : | Debasis Sahoo |
| R : | Ken-18412/R |
| RC : | Ken-18413/Rc |
| RX : | Ken-5933/Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/2/2003 |
| Date of Expiry : | 1/1/2018 |
| Remarks : | Under Renewal/ Applied for C/R |