| Name Of the Firm : | Kanaklata Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 249, Kh. No- 159, At/Po- Bangurigaon, Ps- Kakatpur, Dist-Puri |
| RP Name : | Sri Asit Kumar Parida |
| Registration Number : | 20215 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Prasant Ku. Barik |
| R : | 24828 |
| RC : | 24829 |
| RX : | 9473 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/7/2009 |
| Date of Expiry : | 10/8/2014 |
| Remarks : |