SERVICE REQUEST

Name of the Territory KOLLAM

Name of the TM MUHAMMED HUSSAIN
Payment to ASHOK KUMAR
Area of Business PUNALUR
Doctor Name Speciality Hospital
ASHOK KUMAR POYYANIL HOSPITAL,
Doctors Focused

Specification(s) if any MOBILE PHONE

Estimated Amount 16000/- Mode of Payment CASH
Current Business Competitor Bus
Product Name Qty PTS Value (PTS) Product Name
CILAPRESS-10
BIOTOR-5
BIOTOR-10
LIVIPLUS
CADMET XR 25
CADMET XR -50
XYLOPAN-40

T O T A L 0T O T A L
NEW BRAND FOCUSED cilapress 10
Name of Stockists
Name Chemists Retailed
BM Comments
RM Comments
 For Office Use Only
Paid Amount Date of Pay
Mode of Pay Paid by
Approved by

Remarks
 Division CV LIFE
RM DEENAR
BM REJIMON
Type of Expense Busi.promotion

ANIL HOSPITAL, PUNALUR

Proposed Dated 11/30/2019

Competitor Business
Qty Value