| Name Of the Firm : | Purnima Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Dolasahi, Dist: Bhadrak Plot No. 110, Khata No.176 |
| RP Name : | Sri Shubhransu Dikshit |
| Registration Number : | 19031(O.P.C) |
| Competent Person : | -- |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Nrusingh Charan Sahoo |
| R : | BH-9578/R |
| RC : | BH-9579/RC |
| RX : | -- |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/4/1992 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R Not Issued |