OVER THE COUNTER MEDECINE OVER THE COUNTER MEDECINE

Wholesaler and Retailer Wholesaler and Retailer

DISTRIBUTOR DISTRIBUTOR
Contact No.: TM 0935-034-1692 Contact No.: TM 0935-034-1692

Date: ______________ Date: ______________

NAME OF AGENT: ___________________________________ NAME OF AGENT: ___________________________________
CONTACT NO.: _____________________________________ CONTACT NO.: _____________________________________
PRODUCT NAME PRICE QUANTITY AMOUNT SRP PRODUCT NAME PRICE QUANTITY AMOUNT SRP
per PC per PC
BIOGESIC 3.50 BIOGESIC 3.50
NEOZEP 5.00 NEOZEP 5.00
ALAXAN FR 7.50 ALAXAN FR 7.50
BIOFLU 7.00 BIOFLU 7.00
DIATABS 7.00 DIATABS 7.00
IMMODIUM 11.00 IMMODIUM 11.00
TUSERAN 10.00 TUSERAN 10.00
SOLMUX 10.00 SOLMUX 10.00
DOLFENAL 20.00 DOLFENAL 20.00
FLANAX 20.00 FLANAX 20.00
GARDAN 18.00 GARDAN 18.00
PONSTAN 20.00 PONSTAN 20.00
BUSCOPAN 20.00 BUSCOPAN 20.00
LOMOTIL 10.00 LOMOTIL 10.00
MEDICOL ADV. 6.50 MEDICOL ADV. 6.50
KREMIL S 6.00 KREMIL S 6.00
DECOLGEN 7.00 DECOLGEN 7.00
MYRA E 12.00 MYRA E 12.00
SARIDON 9.00 SARIDON 9.00
AMOX RITEMED 7.00 AMOX RITEMED 7.00
MEFE RITEMED 6.00 MEFE RITEMED 6.00
SKELAN 23.00 SKELAN 23.00
STRESSTABS 12.00 STRESSTABS 12.00
REXIDOL 7.00 REXIDOL 7.00
VICKS 29.00 VICKS 29.00
SALONPAS 105.00 SALONPAS 105.00
KATINKO 29.00 KATINKO 29.00
ADVIL 9.00 ADVIL 9.00
ERYTHRONYCIN 20.00 ERYTHRONYCIN 20.00
ENERVON 8.00 ENERVON 8.00
SYMDEX 100mg 40.00 SYMDEX 100mg 40.00
SYMDEX 125mg 41.00 SYMDEX 125mg 41.00
CEFA 100mg 18.00 CEFA 100mg 18.00
CEFA 125mg 22.00 CEFA 125mg 22.00
CEFA 250mg 30.00 CEFA 250mg 30.00
LADY PILLS 60.00 LADY PILLS 60.00
TRUST PILLS 60.00 TRUST PILLS 60.00
LOSARTAN 50mg 7.00 LOSARTAN 50mg 7.00
LOSARTAN 100mg 10.00 LOSARTAN 100mg 10.00
BAND AID 48 BAND AID 48
AMOXICILIN 4.00 AMOXICILIN 4.00
MEFENAMIC 3.00 MEFENAMIC 3.00
COTRIMOXAZOLE 8.00 COTRIMOXAZOLE 8.00
CEFALEXIN 8.00 CEFALEXIN 8.00
CITIRIZINE 7.00 CITIRIZINE 7.00
LOPERAMIDE 4.00 LOPERAMIDE 4.00
CLOXACILLIN 5.00 CLOXACILLIN 5.00
ASCORBIC ACID 7.00 ASCORBIC ACID 7.00
SALBUTAMOL NEBUL 8.00 SALBUTAMOL NEBUL 8.00
SYMDEX 7.00 SYMDEX 7.00
METFOMIN 2.00 METFOMIN 2.00
DICLOFENAC 3.00 DICLOFENAC 3.00
SALBUTAMOL 5.00 SALBUTAMOL 5.00
AMLODIPIN 2.00 AMLODIPIN 2.00
PARACETAMOL 3.00 PARACETAMOL 3.00
AM BROXOL 15mg 17.00 AM BROXOL 15mg 17.00
BROXOL 30mg 18.00 BROXOL 30mg 18.00
AMBROXOL DROPS 20.00 AMBROXOL DROPS 20.00
ASCORBIC 100 mg 26.00 ASCORBIC 100 mg 26.00
ASCORBIC DROPS 25.00 ASCORBIC DROPS 25.00
AMOXICILLIN 100mg 19.00 AMOXICILLIN 100mg 19.00
AMOXICILLIN 125mg 22.00 AMOXICILLIN 125mg 22.00
AMOXICILLIN 250mg 28.00 AMOXICILLIN 250mg 28.00
CARBOCISTEINE 100mg 22.00 CARBOCISTEINE 100mg 22.00
CARBOCISTEINE 250mg 29.00 CARBOCISTEINE 250mg 29.00
CITIRIZINE 25mg 32.00 CITIRIZINE 25mg 32.00
CITIRIZINE 5mg 33.00 CITIRIZINE 5mg 33.00
COTRIMOXAZOLE 240mg 53.00 COTRIMOXAZOLE 240mg 53.00
MEFENAMIC 50mg 21.00 MEFENAMIC 50mg 21.00
PARACETAMOL 100mg 19.00 PARACETAMOL 100mg 19.00
PARACETAMOL 125mg 20.00 PARACETAMOL 125mg 20.00
PARACETAMOL 250mg 20.00 PARACETAMOL 250mg 20.00
TOTAL AMOUNT ___________________ TOTAL AMOUNT ___________________