| Name Of the Firm : | Sri Chaitanya Bulidevi Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At: Agarpada, Po : B.T. Pur, Dist : Bhadrak Plot No.2059/4243, Khata No.928/211 |
| RP Name : | Sri Suvendu Ku. Nayak |
| Registration Number : | 11209 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bhakta Mohan Tripathy |
| R : | BH-21520/R |
| RC : | BH-21521/RC |
| RX : | BH-7823/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/17/2005 |
| Date of Expiry : | 11/16/2015 |
| Remarks : | C/R Not Issued |