PURCHASE ORDER

Hotel Samode Palace

Samode, Dist. - Jaipur, Rajasthan, India 303806

GSTIN : GSTIN : 08AABFH0961N1Z7

PO #: HSP - 453
PO Date : 14-11-2025
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 Zandu Balm
4.00 NOS ₹ 43.00 ₹ 172.00 ₹ 0.00 ₹ 0.00 ₹ 172.00
2 Vicks-vaporub
2.00 NOS ₹ 109.00 ₹ 218.00 ₹ 0.00 ₹ 0.00 ₹ 218.00
3 ORS
10.00 NOS ₹ 22.60 ₹ 226.00 ₹ 0.00 ₹ 0.00 ₹ 226.00
4 Idex 8gm
3.00 NOS ₹ 48.00 ₹ 144.00 ₹ 0.00 ₹ 0.00 ₹ 144.00
5 Moov150g
2.00 NOS ₹ 121.00 ₹ 242.00 ₹ 0.00 ₹ 0.00 ₹ 242.00
6 Moov Spray 350g
1.00 NOS ₹ 180.00 ₹ 180.00 ₹ 0.00 ₹ 0.00 ₹ 180.00
7 Burnol 10gm
2.00 NOS ₹ 99.15 ₹ 198.30 ₹ 0.00 ₹ 0.00 ₹ 198.30
8 Brufen Tab
20.00 NOS ₹ 2.68 ₹ 53.60 ₹ 0.00 ₹ 0.00 ₹ 53.60
9 Disprin
20.00 NOS ₹ 0.75 ₹ 15.00 ₹ 0.00 ₹ 0.00 ₹ 15.00
10 Pantosec Tab
30.00 NOS ₹ 15.79 ₹ 473.70 ₹ 0.00 ₹ 0.00 ₹ 473.70
11 Avil
15.00 NOS ₹ 0.88 ₹ 13.20 ₹ 0.00 ₹ 0.00 ₹ 13.20
12 Electral Power
10.00 NOS ₹ 23.05 ₹ 230.50 ₹ 0.00 ₹ 0.00 ₹ 230.50
13 Dettol 60ml
3.00 NOS ₹ 48.00 ₹ 144.00 ₹ 0.00 ₹ 0.00 ₹ 144.00

Amount (In Words): Two Thousand Three Hundred and Ten Rupees and Thirty Paise Only.

Grand Total: 2,310.30

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 : 23-Dec-2025