| Name Of the Firm : | Niladree Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Barapada, Dist: Bhadrak Plot No.202, Khata No.162 |
| RP Name : | Sri Niladree Bhusan Parhi |
| Registration Number : | 21758 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Kumari Madhabalata Parhi. |
| R : | BH-21610/R |
| RC : | BH-21611/RC |
| RX : | BH-7868/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 12/15/2005 |
| Date of Expiry : | 12/14/2015 |
| Remarks : | C/R Not Issued |