| Name Of the Firm : | Purnima Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Chhanchina, P.O : Danar, Dist : Bhadrak Plot No.:1048/1466, Khata No.: 250/38 |
| RP Name : | Sri Jasobanta Pahi |
| Registration Number : | 12670 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ramakanta Pahi |
| R : | BH-24552/R |
| RC : | BH-24553/RC |
| RX : | BH-9335/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/12/2009 |
| Date of Expiry : | 5/11/2014 |
| Remarks : | Up to date Licence |