| Name Of the Firm : | Mamoon Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Jagannathpur, Dist:Bhadrak Plot No.692/1574, Khata No.290/592 |
| RP Name : | Sri Sukumar Rout |
| Registration Number : | 13815(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Laxmidhar Panda. |
| R : | BH-18676/R |
| RC : | BH-18677/RC |
| RX : | BH-6062/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 3/28/2003 |
| Date of Expiry : | 3/27/2018 |
| Remarks : | C/R Not Issued |