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File No:
Date: //


From:


To,




Subject:

Ref:

 

FMR Code :

ITEM DETAILS & PRICE:

Item Name Quantity Rate (Incl. of GST)
Total Amount
 Delivery Destinations
( ) 0 0.000
0.00
As per annexure A
Grand Total
0.00
  


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



 


Memo No:
Date: //

Copy to:
1)