PURCHASE ORDER

Hotel Samode Palace

Samode, Dist. - Jaipur, Rajasthan, India 303806

GSTIN : GSTIN : 08AABFH0961N1Z7

PO #: HSP - 247
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 Disprin
60.00 NOS ₹ 0.75 ₹ 45.00 ₹ 0.00 ₹ 0.00 ₹ 45.00
2 Vicks Action 500
16.00 NOS ₹ 6.30 ₹ 100.80 ₹ 0.00 ₹ 0.00 ₹ 100.80
3 Ridol
20.00 NOS ₹ 2.27 ₹ 45.40 ₹ 0.00 ₹ 0.00 ₹ 45.40
4 Peracitamol-650
30.00 NOS ₹ 6.00 ₹ 180.00 ₹ 0.00 ₹ 0.00 ₹ 180.00
5 Digne
30.00 NOS ₹ 1.94 ₹ 58.20 ₹ 0.00 ₹ 0.00 ₹ 58.20
6 Avil
30.00 NOS ₹ 0.88 ₹ 26.40 ₹ 0.00 ₹ 0.00 ₹ 26.40
7 Dicloran A
20.00 NOS ₹ 8.14 ₹ 162.80 ₹ 0.00 ₹ 0.00 ₹ 162.80
8 Cetragin
30.00 NOS ₹ 2.10 ₹ 63.00 ₹ 0.00 ₹ 0.00 ₹ 63.00
9 Idex 8gm
1.00 NOS ₹ 48.00 ₹ 48.00 ₹ 0.00 ₹ 0.00 ₹ 48.00
10 Podin Hara
40.00 NOS ₹ 1.45 ₹ 58.00 ₹ 0.00 ₹ 0.00 ₹ 58.00
11 Saridon
30.00 NOS ₹ 5.00 ₹ 150.00 ₹ 0.00 ₹ 0.00 ₹ 150.00
12 Crocin
30.00 NOS ₹ 1.37 ₹ 41.10 ₹ 0.00 ₹ 0.00 ₹ 41.10

Amount (In Words): Nine Hundred and Seventy Eight Rupees and Seventy Paise Only.

Grand Total: 978.70

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