PURCHASE ORDER
Hotel Samode Palace
Samode, Dist. - Jaipur, Rajasthan, India 303806
GSTIN : GSTIN : 08AABFH0961N1Z7
PO #: HSP - 454
PO Date : 14-11-2025
| 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 |
Ridol |
20.00 NOS | ₹ 2.31 | ₹ 46.20 | ₹ 0.00 | ₹ 0.00 | ₹ 46.20 |
| 2 |
Podin Hara |
20.00 NOS | ₹ 1.45 | ₹ 29.00 | ₹ 0.00 | ₹ 0.00 | ₹ 29.00 |
| 3 |
Nicip-cold |
20.00 NOS | ₹ 7.40 | ₹ 148.00 | ₹ 0.00 | ₹ 0.00 | ₹ 148.00 |
| 4 |
Dicloran A |
20.00 NOS | ₹ 8.14 | ₹ 162.80 | ₹ 0.00 | ₹ 0.00 | ₹ 162.80 |
| 5 |
Vicks Action 500 |
15.00 NOS | ₹ 6.30 | ₹ 94.50 | ₹ 0.00 | ₹ 0.00 | ₹ 94.50 |
| 6 |
Rantac 150mg |
60.00 NOS | ₹ 1.80 | ₹ 108.00 | ₹ 0.00 | ₹ 0.00 | ₹ 108.00 |
| 7 |
Enteroquinol |
20.00 NOS | ₹ 5.00 | ₹ 100.00 | ₹ 0.00 | ₹ 0.00 | ₹ 100.00 |
| 8 |
Crape Bandaid 6cm |
2.00 NOS | ₹ 120.00 | ₹ 240.00 | ₹ 0.00 | ₹ 0.00 | ₹ 240.00 |
| 9 |
Bandaid Regular |
200.00 NOS | ₹ 2.00 | ₹ 400.00 | ₹ 0.00 | ₹ 0.00 | ₹ 400.00 |
| 10 |
Thermometer |
2.00 NOS | ₹ 245.00 | ₹ 490.00 | ₹ 0.00 | ₹ 0.00 | ₹ 490.00 |
| 11 |
Cotton |
1.00 PKT | ₹ 120.00 | ₹ 120.00 | ₹ 0.00 | ₹ 0.00 | ₹ 120.00 |
| 12 |
Sanitary Pad |
12.00 PKT | ₹ 48.33 | ₹ 579.96 | ₹ 0.00 | ₹ 0.00 | ₹ 579.96 |
| 13 |
Crocin |
20.00 NOS | ₹ 2.06 | ₹ 41.20 | ₹ 12.00 | ₹ 4.94 | ₹ 46.14 |
Amount (In Words): Two Thousand Five Hundred and Sixty Four Rupees and Sixty Paise Only. |
Grand Total: | 2,564.60 | |||||
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