File No:

Date: //

From:

To,

Itas G Pharma
ML Nehru Road, Panbazar, Guwahati-781001

Subject:

Ref:

 

FMR Code :

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate (Incl. of GST)	Total Amount	Delivery Destinations
Bupivacaine HCL (Injection 0.5% heavy )	1	9.870	9.87	As per annexure A
Grand Total			9.87

Annexure A:

Sl	Item Name	Dosage form and strength	Pack Size	Rate (Inclussive of GST)(Rs)	Total quantity to be supplied	Total Amount	Delivery Destinations
1	Bupivacaine HCL	Injection 0.5% heavy	4 ml Amp	9.870	1	9.87

Memo No:

Date: //

Copy to:
1)