PURCHASE ORDER
Hotel Samode Palace
Samode, Dist. - Jaipur, Rajasthan, India 303806
GSTIN : GSTIN : 08AABFH0961N1Z7
PO #: HSP - 107
PO Date : 13-07-2025
| Yadav Medical | Payment Type | : | |
| Near Chc Hospital , Samode | Dispatch | : By Hand | |
| GSTIN: | Payment Terms | : | |
| Contacts: 7014747559 | | PO Validity | : | |
Dear Sir/Madam,
With Reference to your approved Quotation by our purchase department. We are pleased
to place the following order for our oragnisation.Kindly Supply the following Items.
| # | Description | Qty / Unit | Rate | Amount | GST % | GST Amount | Total Amount |
|---|---|---|---|---|---|---|---|
| 1 |
Eno Pouch |
36.00 NOS | ₹ 10.00 | ₹ 360.00 | ₹ 0.00 | ₹ 0.00 | ₹ 360.00 |
| 2 |
Bandaid Regular |
100.00 NOS | ₹ 2.00 | ₹ 200.00 | ₹ 0.00 | ₹ 0.00 | ₹ 200.00 |
| 3 |
Combiflam |
100.00 NOS | ₹ 2.78 | ₹ 278.00 | ₹ 0.00 | ₹ 0.00 | ₹ 278.00 |
| 4 |
Podin Hara |
40.00 NOS | ₹ 1.45 | ₹ 58.00 | ₹ 0.00 | ₹ 0.00 | ₹ 58.00 |
| 5 |
Disprin |
50.00 NOS | ₹ 0.75 | ₹ 37.50 | ₹ 0.00 | ₹ 0.00 | ₹ 37.50 |
| 6 |
Saridon |
30.00 NOS | ₹ 3.33 | ₹ 99.90 | ₹ 0.00 | ₹ 0.00 | ₹ 99.90 |
| 7 |
Dicloran A |
30.00 NOS | ₹ 8.14 | ₹ 244.20 | ₹ 0.00 | ₹ 0.00 | ₹ 244.20 |
| 8 |
Avil |
30.00 NOS | ₹ 0.88 | ₹ 26.40 | ₹ 0.00 | ₹ 0.00 | ₹ 26.40 |
| 9 |
Pezover-on Tab (Ulti) |
20.00 NOS | ₹ 10.00 | ₹ 200.00 | ₹ 0.00 | ₹ 0.00 | ₹ 200.00 |
| 10 |
Enteroquinol |
20.00 NOS | ₹ 4.20 | ₹ 84.00 | ₹ 0.00 | ₹ 0.00 | ₹ 84.00 |
| 11 |
Peracitamol-650 |
30.00 NOS | ₹ 7.90 | ₹ 237.00 | ₹ 0.00 | ₹ 0.00 | ₹ 237.00 |
| 12 |
Cetragin |
20.00 NOS | ₹ 1.00 | ₹ 20.00 | ₹ 0.00 | ₹ 0.00 | ₹ 20.00 |
| 13 |
Rantac 150mg |
60.00 NOS | ₹ 1.80 | ₹ 108.00 | ₹ 0.00 | ₹ 0.00 | ₹ 108.00 |
| 14 |
ORS |
10.00 NOS | ₹ 25.40 | ₹ 254.00 | ₹ 0.00 | ₹ 0.00 | ₹ 254.00 |
Amount (In Words): Two Thousand Two Hundred and Seven Rupees Only. |
Grand Total: | 2,207.00 | |||||
Notes:
• Please reference PO number on all correspondence
• Goods must meet quality specifications
• Contact purchasing department for any queries
DepartmentHead Signature
Store Signature
Authorized Signature
Print Date : 08-Nov-2025