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Drug Lic. No.
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[DrugLicNo]
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Tin No.
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[TinNo]
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PHARMACY STORE PURCHASE CLAIM
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Supplier :
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[SupName]
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Type :
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[Type]
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[SupAddress]
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Date :
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[Date]
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Purchase Claim :
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[PurchaseClaimNo]
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Gross Value
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:
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[GrossValue]
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Tax Amount
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:
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[TaxAmount]
|
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Net Amount(Rs)
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:
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[NetAmount]
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Amount (In words) :
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[Rupees]
|
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| Prepared By :
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[PreparedBy] |
Pharmacy Store In Charge |
Authorised By |
Int. Audit |
|