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D.L.NO.21-107 OB.

CASH MEMO Phone: 0124 - 2309089


22-107 B

CHAWLA MEDICAL
Opposite Anaj Mandi, Khandsa Road, Khandsa Road
Gurgaon, Haryana

No. 9052 Dated......................


Prescribed By .......................................................................................
Patient ....................................................................................................

Qty. Name of Medicines Expiry Rate Amount


Date

Total

Goods Once sold are not Returnable


Subject to Haryana Jurisdiction only Signature of the Regd. Pharmacist

D.L.NO.21-107 OB. CASH MEMO Phone: 0124 - 2309089


22-107 B

CHAWLA MEDICAL
Opposite Anaj Mandi, Khandsa Road, Khandsa Road
Gurgaon, Haryana

No. 7524 Dated......................


Prescribed By .......................................................................................
Patient ....................................................................................................

Qty. Name of Medicines Expiry Rate Amount


Date

Total
Goods Once sold are not Returnable
Subject to Haryana Jurisdiction only Signature of the Regd. Pharmacist

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