| Name Of the Firm : | Mama Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Town Hall Chhak, Dist: Bhadrak Nehuru Municipality Market Complex Room No. 2 |
| RP Name : | Sri Manoj Kumar Brahma |
| Registration Number : | 17163(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ashish Amitav Mohapatra |
| R : | BH-13740/R |
| RC : | BH-13741/RC |
| RX : | BH-4087/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 10/26/1998 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |