| Name Of the Firm : | Matrushakti Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At /Po : Kadbarang, Dist:Bhadrak Plot No.800, Khata No.243 |
| RP Name : | Sri Manoj Ku. Mallik |
| Registration Number : | 14643(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Manoj Ku. Mallik. |
| R : | BH-20237/R |
| RC : | BH-20238/RC |
| RX : | BH-7180/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 9/15/2004 |
| Date of Expiry : | 9/14/2009 |
| Remarks : | C/R Not Issued |