| Name Of the Firm : | Kanchan Medicine Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot no-452, Kh. No-114/01,Jail Road,Ps- Kumbharapada,Dist-Puri |
| RP Name : | Sri Kamalakanta satapathy |
| Registration Number : | 21074 /OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Sri Hemanta Behera |
| R : | 26793 |
| RC : | 26794 |
| RX : | 10413 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/19/2011 |
| Date of Expiry : | 9/18/2016 |
| Remarks : |