| Name Of the Firm : | Khetrapal Medicine Store. |
| Zone : | Central |
| Range : | Kendrapara |
| Police Station : | |
| Address : | Karilopatna,Kendrapara |
| RP Name : | Asis Kumar Priyadarsan Jena |
| Registration Number : | Regn.no.-16610 |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Siba Prasad Nayak |
| R : | Ken-26507/R |
| RC : | Ken-26508Rc |
| RX : | Ken-10275/Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/22/2011 |
| Date of Expiry : | 6/21/2016 |
| Remarks : | Upto date licence |