| Name Of the Firm : | Panchamukhi Medicine Store. |
| Zone : | Central |
| Range : | Kendrapara |
| Police Station : | |
| Address : | Nuapada,Patkura, |
| RP Name : | Dharmendra Mallik |
| Registration Number : | Regn.no.-18232/opc |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Sudeep Ranjan Parida |
| R : | Ken-20622/R |
| RC : | Ken-20623/Rc |
| RX : | Ken-7373/Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/25/2005 |
| Date of Expiry : | |
| Remarks : | Applied for change of Constitution w.e.f. 24-02-2010 |