| Name Of the Firm : | Khameswar Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/P.O. : Chudamani, Dist. : Bhadrak Plot No. : 5215/11860, Khata No. : 1891/2443 |
| RP Name : | Sri Jagadish Panda |
| Registration Number : | 25816(O.P.C.) |
| Competent Person : | -- |
| Qualification : | B-Pharm |
| Name of the Proprietor : | Sri Sudhansu Sekhar Panda |
| R : | BH-28497/R |
| RC : | BH-28498/RC |
| RX : | BH-11261/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2013.07.29 |
| Date of Expiry : | 2018.07.28 |
| Remarks : | Up to date Licence |