| Name Of the Firm : | Patra Medicine Store |
| Zone : | CENTRAL |
| Range : | Nayagarh |
| Police Station : | |
| Address : | At/Po- Nuagaon Plot.No-381/1718,Khat.No177/104 Dist-Nayagarh |
| RP Name : | Sri Prahallad Bastia |
| Registration Number : | 25613 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri Prasanta Kumar Patra |
| R : | 28215 |
| RC : | 28216 |
| RX : | 11120 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/5/2013 |
| Date of Expiry : | 8/5/2018 |
| Remarks : |