| Name Of the Firm : | Prabhudayal Medical Store, |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At. Mathasahi, Po. Bhadrak, Dist: Bhadrak Plot No. 2420, Khata No.776/71 |
| RP Name : | Sri Prakash Ku. Puhan |
| Registration Number : | 10450(OPC) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bikash Ranjan Sahoo |
| R : | BH-11870/R |
| RC : | BH-11871/RC |
| RX : | BH-3154/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/26/1996 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |