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 Stamp:
Date:Sign & sendingplasma,
fractionation. This
Centre)Thanking
Fractionation
(Plasma For you,
Time Date QiyPersonName of dateLocation
Pickup PHARMACEUTICALS
Name of
LIMITED
INTAS
Intas
Packing
Style Logger
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 INTAS
INTAS PHARMACEUTICALS LIMITED
Plot No. 496/ 1/A& B, Sarklhej - Bavla Highway, Matoda - 382 213, Ahmedabad, Gujarat, India
Phonc: +91- 02717 -662103

TO WHOMSOEVER IT MAY CONCERN

This is to ccrtify that this shipment /parccl / boxes contain processed and tested human blood
plasma, wlhich is component of whole bloodand it is perishable /emperature sensitive. We arc
sending this plasma to our licensed manufacturing acility at Ahmedabad, Gujarat for
fractionation.

Name of Blood BankAsHok NAGAR Sewq Sm) BlooD BANk

Location

Pick up date 18|0s|R4

Boxes. Litres
Data Logger No. Data Logger
Box No. NA
Packing Style Thernocol Boxes/ Corrugated Boxes

Dry Ice Uscd : Yes/No Dry lce Replenish: Dry Ice Replenish
Name of Yes/No Yes/No
Person Mwo Kumgs
Qty
Date

Time
|600

Thanking you,
For IntasPharmceuticals Ltd.
(Plasma Fractionation Centre)
ACEUN

PLASMA

sign &Stamp:
Date: