DCR Format

DAILY WORK REPORT
Name :
IMRAN KHAN
Head Quarter: SOUTH DELHI W with :

Doctor Visit POB Value 1,2,3..
Place of Work:
MALVIYA NAGAR
Sl. No MSL No. DOCTOR'S NAME
Division
Inputs giv
Qualifica tion GYN PHY PEAD GP GP GP GASTRO GYN PEAD GYN
C1 * Product
FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL
Qty
1 2 3 4 5 6 7 8 9 10
INDU KAWATRA V. KAWATRA M.C GUPTA S. BOUNTRA NAIM AKHTAR DALJEET RAI ASHOK GUPTA DEEPA GUPTA PARVEEN KHANDUJA SUNITA NAGPAL Dr. Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
MSL of the dr. attached
POB value
Summary of Work
Details
Doctors Met Chemist Met: Orders Booked Orders Value
Institutions / NGO's / GO
Date & Signature of the Sales Officer
(C1 Fepanil, C2 - Non Antibiot
Date :
18/4/12
Veritaz Healthcare Limited, Regd. Off: H.No:1-121/1, Survey No.66 (Part) & 67 (Part), Miyapur, Serilingampally Mandal, Hyderabad - 500 049.
Inputs given to the doctor
C2 * Product LYSATONE DELCON LYSATONE LYSATONE LYSATONE LYSATONE LINTAZ LYSATONE LYSATONE LYSATONE Qty
C3 * Product Qty
gift given
LBL
Local CME (put tick)
Summary of Work
Names of the Doctors Converted with details cum
Details
Day
Institutions / NGO's / GO's / stockists visited with activity details
(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)
DAILY WORK REPORT

Name : Place of Work: W with :
Head Quarter: Division
Inputs giv
Sl. No
MSL No. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
Veritaz Healthcare Limited, Regd. Off: H.No:1-121/1, Survey No.66 (Part) & 67 (Part), Miyapur, Serilingampally Mandal, Hyderabad - 500 049. Inputs given to the doctor
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Name :
IMRAN KHAN

Place of Work:
MALVIYA NAGAR
Division
Inputs giv
Qualifica tion GYN PHY PEAD GP GP GP GASTRO GYN PEAD GYN
C1 * Product
Qty
1 2 3 4 5 6 7 8 9 10
INDU KAWATRA V. KAWATRA M.C GUPTA S. BOUNTRA NAIM AKHTAR DALJEET RAI ASHOK GUPTA DEEPA GUPTA PARVEEN KHANDUJA SUNITA NAGPAL Dr. Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME NARAG MANAV MEDIWORLD APOLLO ARVEE
POB value
Summary of Work
Details
Date :
18/4/12
C2 * Product LYSATONE DELCON LYSATONE LYSATONE LYSATONE LYSATONE LINTAZ LYSATONE LYSATONE LYSATONE Qty
C3 * Product DELBI DELBI PRESSCLAV DELBI DELBI DELBI DELBI DELBI PRESSCLAV PRESSCLAV Qty
gift given
LBL
Summary of Work
Names of the Doctors Converted with details cum 133 71 5
Details
Day 10
DAILY WORK REPORT

Name :
IMRAN KHAN

Place of Work:
G.K-1
Division
Inputs giv
Qualifica tion BDS BDS GYN PHY PEAD ORTHO GP GP GP GP
C1 * Product
Qty
1 2 3 4 5 6 7 8 9 10
A.M DESHPANDEY S. DESHPANDEY CHRANJEET KAUR N. BHARDWAJ BHAWANA MISHRA SURAJ PRAKASH JITENDER LEEL M.M RAY BARAT BHUSHAN MOHD. RIZWAN Dr. Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME SATYAM KAMAL MEHTA VIKRAM AGGRAWAL
POB value
Summary of Work
Details
Date :
19/4/12
C2 * Product Qty
C3 * Product PRESSCLAV PRESSCLAV Qty
gift given
LBL
LYSATONE DELCON LYSATONE KOACT LYSATONE LYSATONE LYSATONE LYSATONE
DELBI PRESSCLAV DELBI PRESSCLAV DELBI DELBI DELBI DELBI
Summary of Work
Details
Day 10
DAILY WORK REPORT

Name :
IMRAN KHAN

ASM
Qualifica tion GP GP GP GP PEAD PHY GYN GP GYN GYN Doctor Visit POB Value 1,2,3..
Place of Work:
LAJPAT NAGAR
Division
Inputs giv
C1 * Product
Qty
1 2 3 4 5 6 7 8 9 10
PRAKASH JHURANEY ASHWANI SARNA VIRENDER PRATAP DIVENDER PIPLANI POONAM MEHROTRA PRADEEP KAWATRA SANTOSH DHAR K. MADAN POONAM BAZAZ SHAKUNTLA SHUKLA Dr. Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME MEDICINE POINT KAMAL SHUBHAM SETHI SONS BAXICO
POB value
Summary of Work
Details
Date :
20/4/12
C2 * Product LYSATONE DELCON DELCON DELCON LYSATONE DELCON LYSATONE LYSATONE LYSATONE LYSATONE Qty
C3 * Product DELBI DELBI PROXTL DELBI PRESSCLAV PROXTL PRESSCLAV DELBI PRESSCLAV PRESSCLAV Qty
gift given
LBL
Summary of Work
Details
Day 10
DAILY WORK REPORT

Name :
IMRAN KHAN

Place of Work:
KALKAJI & GOVIND PURI
Division
Inputs giv
Qualifica tion GYN GP GP GP GP GP GP GYN GP GYN GP
C1 * Product
FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL
Qty
1 2 3 4 5 6 7 8 9 10 11
SUNITA MEHTA VIJAY KUMAR DINESH LUTHRA J.S BATRA SMARTH KUMAR SRIVASTAV A.K GUPTA J.K SHARMA SUNITA SHARMA N.K ARORA MADHU ARORA SHAMSUL ARIFEEN Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME SHARMA SAVI PREM SONS ARUN ANUBHAV
POB value
Summary of Work
Details
Date :
21/4/12
C2 * Product LYSATONE LYSATONE LYSATONE DELCON DELCON LYSATONE DELCON LYSATONE LYSATONE LYSATONE LYSATONE Qty
C3 * Product DELBI DELBI DELBI DELBI DELBI DELBI DELBI PRESSCLAV DELBI DELBI DELBI Qty
gift given
LBL
Summary of Work
Details
Day 11
DAILY WORK REPORT

Name :
IMRAN KHAN
Head Quarter: W with :

Place of Work:
SUNDAY
Sl. No MSL No. NO CALL Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr. Sl NO 1 2 3 4 5 6 7 8 9 10 Date & Signature of the Sales Officer CL NO DOCTOR'S NAME
Division
Inputs giv
Qualifica tion
C1 * Product Qty
CHEMIST NAME
POB value
Summary of Work
Details
Date :
22/4/12
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Name :
IMRAN KHAN

ASM & RSM
Qualifica tion GP PEAD GP GP GYN GASTRO PHY ORTHO Doctor Visit POB Value 1,2,3..
Place of Work:
EAST OF KAILASH & SAMA
Sl. No MSL No. B.K SETHI SANTOSH SETHI MINNI BHATIA H.S KAPOOR KAVITA SAMA S.K SAMA O.P SHARMA SOURABH MODHA Dr. Dr. Dr. Dr. Dr. Sl NO 1 2 3 4 5 6 7 8 9 10 Date & Signature of the Sales Officer CL NO DOCTOR'S NAME
Division
Inputs giv
C1 * Product
FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL
Qty
1 2 3 4 5 6 7 8
CHEMIST NAME VASHIST KAPTON SREE KRISHNA CURE WAYS AMRIT
POB value
Summary of Work
Details
Date :
23/4/12
C2 * Product LYSATONE LYSATONE LYSATONE DELCON LYSATONE LINTAZ LINTAZ KOACT Qty
C3 * Product DELBI DELBI PROXTL PRESSCLAV PRESSCLAV CEFACTUM CEFACTUM CEFACTUM Qty
gift given
LBL
Summary of Work
Names of the Doctors Converted with details cum 8 5 172 91
Details
Day
DAILY WORK REPORT

Name :
IMRAN KHAN

ASM
Qualifica tion GP BDS BDS GP GP PHY GP GYN PHY GYN PEAD Doctor Visit POB Value 1,2,3..
Place of Work:
AMAR COLONY
Division
Inputs giv
C1 * Product
FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL FEPANIL
Qty
1 2 3 4 5 6 7 8 9 10 11
B.D SACHDEVA MANISH KALRA GEETA KALRA P.K MUKERJEE DILEEP CHUGH SUNIL WADHWA HEMANT SAHANI NEELAM KAPOOR H.L NAWLAKHA HELAI GUPTA SANJAY TONDON Dr. Dr.
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME ISHA MEDI POINT DHINGRA MEDICINE CORNER PARAS
POB value
Summary of Work
Details
Date :
24/4/12
C2 * Product DELCON Qty
C3 * Product PRESSCLAV PRESSCLAV PRESSCLAV Qty
gift given
LBL
LYSATONE DELCON DELCON DELCON LYSATONE LYSATONE LYSATONE LYSATONE
DELBI DELBI PRESSCLAV DELBI PRESSCLAV PRESSCLAV PRESSCLAV PRESSCLAV
Summary of Work
Details
Day 11
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
MSL No.
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day
DAILY WORK REPORT

Inputs giv
Sl. No
MSL No.
DOCTOR'S NAME
Qualifica tion
C1 * Product Qty
Sl NO 1 2 3 4 5 6 7 8 9 10
CL NO
CHEMIST NAME
POB value
Summary of Work
Details
Date :
C2 * Product Qty
C3 * Product Qty
gift given
LBL
Summary of Work
Details
Day

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DAILY WORK REPORT

Head Quarter: SOUTH DELHI W with :

Qualifica tion GYN PHY PEAD GP GP GP GASTRO GYN PEAD GYN

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Inputs given to the doctor

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum

Institutions / NGO's / GO's / stockists visited with activity details

(C1 Fepanil, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

DAILY WORK REPORT

Head Quarter: Division

MSL of the dr. attached

Date & Signature of the Sales Officer

(C1 Fepanil, C2 - Non Antibiot

Local CME (put tick)

Names of the Doctors Converted with details cum