| Name Of the Firm : | Sri Madhu Ganesh Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Dolasahi, Dist:Bhadrak Plot No.209/210, Khata No.742 |
| RP Name : | Sri Santosh Ku.Behera |
| Registration Number : | 7531 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Madhabananda Pati. |
| R : | BH-19584/R |
| RC : | BH-19585/RC |
| RX : | BH-6853/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/10/2004 |
| Date of Expiry : | 2/9/2014 |
| Remarks : | C/R Not issued |