| Name Of the Firm : | Maa Gayatri Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Anandabazar, Dist:Bhadrak Plot No.11, Khata No. 154 |
| RP Name : | Sri Mukunda Prasad Mohanty |
| Registration Number : | 2497 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Susanta Ku. Sahoo |
| R : | BH-22070/R |
| RC : | BH-22071/RC |
| RX : | BH-8096/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 6/16/2006 |
| Date of Expiry : | 6/15/2016 |
| Remarks : | C/R Not Issued |