| Name Of the Firm : | Madat Medicine Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Pl. No 1948/3422, Kh. No. 648/1025, Mouza- Jajarsingh, Khurda |
| RP Name : | Haji Nasim Uddin Khan |
| Registration Number : | 1446/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Haji Nasim Uddin Khan |
| R : | KH 25301 |
| RC : | KH 25302 |
| RX : | KH 9709 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/5/2010 |
| Date of Expiry : | 4/4/2015 |
| Remarks : |