| Name Of the Firm : | Mamata Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Laxmidaspur, P.O. : Matipaka, Dist. : Bhadrak Plot No. : 432, Khata No. : 192 |
| RP Name : | Smt. Banita Nayak |
| Registration Number : | 17929 (O.P.C) |
| Competent Person : | -- |
| Qualification : | -- |
| Name of the Proprietor : | Sri Manoj Kumar Bal |
| R : | BH-29529/R |
| RC : | BH-29530/RC |
| RX : | BH-11778/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2014.06.26 |
| Date of Expiry : | 2019.06.25 |
| Remarks : | Up to date Licence |