| Name Of the Firm : | Panchamukhi Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1057/1058 Khata No.437/203, H. NO.25, W. NO.16 AT-panisalia PO-PS-Jagatsinghpur DIST-Jagatsinghpur. |
| RP Name : | Biswanath Pani |
| Registration Number : | 5396 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Barada prasana Swain |
| R : | 24274 |
| RC : | 24275 |
| RX : | 9196 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/17/2008 |
| Date of Expiry : | 12/16/2013 |
| Remarks : |