| Name Of the Firm : | Kanchan Medical Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.418 Khata No.344 AT-PO-Rahama PS-Tirtol DIST-Jagatsinghpur. |
| RP Name : | Manoj kumar Lenka |
| Registration Number : | 15652 |
| Competent Person : | |
| Qualification : | B.Pharma |
| Name of the Proprietor : | Shatis Kumar Das |
| R : | 23248 |
| RC : | 23249 |
| RX : | 8691 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/16/2007 |
| Date of Expiry : | 11/15/2017 |
| Remarks : |