| Name Of the Firm : | Kanchan Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At/P.O.- Jaraka |
| RP Name : | Antaryami Dutta |
| Registration Number : | 12662 |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sitansu Sekhar Sahoo |
| R : | 23190 |
| RC : | 23191 |
| RX : | 8662 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/22/2007 |
| Date of Expiry : | 10/21/2017 |
| Remarks : |