| Name Of the Firm : | Nitai Goura Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Daisingh, P.O. : Kaupur, Dist : Bhadrak Plot No.2092, Khata No.14 |
| RP Name : | Sri Jagdish Ray |
| Registration Number : | 19412 (O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sanjukta Tripathy. |
| R : | BH-20580/R |
| RC : | BH-20581/RC |
| RX : | BH-7352/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/17/2005 |
| Date of Expiry : | 1/16/2015 |
| Remarks : | C/R Not Issued |