PURCHASE ORDER

Hotel Samode Palace

Samode, Dist. - Jaipur, Rajasthan, India 303806

GSTIN : GSTIN : 08AABFH0961N1Z7

PO #: HSP - 246
PO Date : 03-09-2025
To,
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 Sanitary Pad
11.00 PKT ₹ 42.00 ₹ 462.00 ₹ 0.00 ₹ 0.00 ₹ 462.00
2 Vicks Goli
35.00 NOS ₹ 2.00 ₹ 70.00 ₹ 0.00 ₹ 0.00 ₹ 70.00
3 Electral Power
10.00 NOS ₹ 23.50 ₹ 235.00 ₹ 0.00 ₹ 0.00 ₹ 235.00
4 ORS
12.00 NOS ₹ 22.66 ₹ 271.92 ₹ 0.00 ₹ 0.00 ₹ 271.92
5 Cotton
1.00 PKT ₹ 70.00 ₹ 70.00 ₹ 0.00 ₹ 0.00 ₹ 70.00
6 Burnol 10gm
2.00 NOS ₹ 99.14 ₹ 198.28 ₹ 0.00 ₹ 0.00 ₹ 198.28
7 Soframycin
2.00 NOS ₹ 110.00 ₹ 220.00 ₹ 0.00 ₹ 0.00 ₹ 220.00
8 Eno Pouch
30.00 NOS ₹ 10.00 ₹ 300.00 ₹ 0.00 ₹ 0.00 ₹ 300.00
9 Moov Spray 350g
2.00 NOS ₹ 192.00 ₹ 384.00 ₹ 0.00 ₹ 0.00 ₹ 384.00
10 Moov150g
4.00 NOS ₹ 90.00 ₹ 360.00 ₹ 0.00 ₹ 0.00 ₹ 360.00

Amount (In Words): Two Thousand Five Hundred and Seventy One Rupees and Twenty Paise Only.

Grand Total: 2,571.20

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