| Name Of the Firm : | Tripathy Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At / P.O :Biriadia, Dist: Bhadrak Plot No. 23/1013, Khata No.167/95 |
| RP Name : | Sri Jyoti Ranajan Das |
| Registration Number : | 17202(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Surendra Ku. Tripathy |
| R : | BH-22499/R |
| RC : | BH-22500/RC |
| RX : | BH-8312/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 12/26/2006 |
| Date of Expiry : | 12/25/2016 |
| Remarks : | C/R Not Issued |