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MANKIND PHARMA LTD. COUR./ GR. No.

:
Goods Received Dt.: COUR./GR. DATE :
PARTY NAME : M/S __________________________________________
SL. Product Quantity Batch no. Expiry Dt. Mrp Exp./Brk. Saleable Remarks
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Goods Checked by : C/N. Executed By :
Date : Voucher no_______________ Date :
PARTY LETTER DATE:
PLACE:
REQUEST FOR CREDIT
(FOR DATE EXPIRY GOODS/SALEABLE RETURN GOODS/ BREAKAGE GOODS,
CREDIT CLAIMED AS PER AIOCD/IDMA AGREEMENT)

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