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GSTIN NO.

05ABDFM0142K1ZL CASH MEMO --- 7668977729

MEDICINE CENTRE
WHOLE SALE & RETAILER
MAIN MARKET, KASHIPUR-244713 (U.S.NAGAR) U.K.

OBR-14/USN/AUG/2015 BR-14/USN/AUG/2015

No. Date

Name of Patient

Name & Address of Doctor

Qty. Description Batch no. Mfg.name Expiry Amount


Rs. P

E.&O.E Sig.

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