Patents Liquid Order Form by 2s1J5Sm

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									            BAKSON DRUGS & PHARMACEUTICALS PVT. LTD.
                    UNIT 1 : Shillu Kala, Parwanoo- 173 220, Distt. Solan (H.P.)
                                     Ph : 01792-280032 FAX 280003
                                  PATENTS LIQUID ORDER FORM
Order Form No.     0

Order No. :                                                            Date

Name of Representative :                                               TIN NO.
Name and Address of the party :                                        Document through Bank/Direct




State :                                                                Advance if any DD/CH No.


Special Note :

E-mail Id :
Transport Name :                                                        Destination

                                                                                        Ordered
      S.NO.                               PRODUCTS                      PACK SIZE
                                                                                         QTY.
                   PART-1 DR.BAKSHI'S SPECIALITIES
           A       SPECIALITIES - LIQUID

          a(1)     OPHTHALMIC RANGE


           1       CINERARIA MARITIMA EYE DROPS                               10ml
           2       EUPHRASIA EYE DROPS                                        10ml
           3       CINERARIA EUPHRASIA EYE DROPS                              10ml

          a(2)     DR. BAKSHI'S DROPS (B1 TO B71)
                   B DROP # 1                                                 30ml
                   B DROP # 2                                                 30ml
                   B DROP # 3                                                 30ml
                   B DROP # 4                                                 30ml
                   B DROP # 5                                                 30ml
                   B DROP # 6                                                 30ml
                   B DROP # 7                                                 30ml
                   B DROP # 8                                                 30ml
                   B DROP # 9                                                 30ml
                   B DROP # 10                                                30ml
                   B DROP # 11                                                30ml
                   B DROP # 12                                                30ml
                   B DROP # 13                                                30ml
                   B DROP # 14                                                30ml
                   B DROP # 15                                                30ml
                   B DROP # 16                                                30ml
                   B DROP # 17                                                30ml
                   B DROP # 18                                                30ml
                   B DROP # 19                                                30ml
                   B DROP # 20                                                30ml
                   B DROP # 21                                                30ml
                   B DROP # 22                                                30ml
                   B DROP # 23                                                30ml
                   B DROP # 24                                                30ml
                   B DROP # 25                                                30ml
                   B DROP # 26                                                30ml
                   B DROP # 27                                                30ml
                   B DROP # 28                                                30ml
                   B DROP # 29                                                30ml
                   B DROP # 30                                                30ml
                   B DROP # 31                                                30ml
                   B DROP # 32                                                30ml
                   B DROP # 33                                                30ml
                   B DROP # 34                                                30ml
                   B DROP # 35                                                30ml
                   B DROP # 36                                                30ml
                   B DROP # 37                                                30ml
                   B DROP # 38                                                30ml



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                                                          Ordered
S.NO.                          PRODUCTS      PACK SIZE
                                                           QTY.
        B DROP # 39                             30ml
        B DROP # 40                             30ml
        B DROP # 41                             30ml
        B DROP # 42                             30ml
        B DROP # 43                             30ml
        B DROP # 44                             30ml
        B DROP # 45                             30ml
        B DROP # 46                             30ml
        B DROP # 47                             30ml
        B DROP # 48                             30ml
        B DROP # 49                             30ml
        B DROP # 50                             30ml
        B DROP # 51                             30ml
        B DROP # 52                             30ml
        B DROP # 53                             30ml
        B DROP # 54                             30ml
        B DROP # 55                             30ml
        B DROP # 56                             30ml
        B DROP # 57                             30ml
        B DROP # 58                             30ml
        B DROP # 59                             30ml
        B DROP # 60                             30ml
        B DROP # 61                             30ml
        B DROP # 62                             30ml
        B DROP # 63                             30ml
        B DROP # 64                             30ml
        B DROP # 65                             30ml
        B DROP # 66                             30ml
        B DROP # 67                             30ml
        B DROP # 68                             30ml
        B DROP # 69                             30ml
        B DROP # 70                             30ml
        B DROP # 71                             30ml
 a(3)
  1     ALFALFA TONIC                           115ML
        ALFALFA TONIC                           200 ML
        ALFALFA TONIC                           450ML
  2     ALFAVENA MALT                           250GM
        ALFAVENA MALT                           450GM
  3     ASTHA AID                               115ML
        ASTHA AID                               200 ML
        ASTHA AID                               450ML
  4     BAKUNIL                                 115ML
        BAKUNIL                                 200 ML
        BAKUNIL                                 450ML
  5     BEE PEE AID                              30ML
  6     CARD AID                                 30ML
  7     DIAB AID                                 30ML
  8     DIGE AID SYRUP                          115ML
        DIGE AID SYRUP                          200 ML
        DIGE AID SYRUP                          450ML
  9     FEM AID                                 115ML
        FEM AID                                 200 ML
        FEM AID                                 450ML
 10     FERRUM PLUS                             115ML
        FERRUM PLUS                             200 ML
        FERRUM PLUS                             450ML
 11     GASTRO AID                              115ML
        GASTRO AID                              200 ML
        GASTRO AID                              450ML
 12     GO TOX                                   30ML
 13     GRO UP                                   30ML
 14     HAIR AID (Twin Pack)                  30ml+30ml
 15     HOMOEOVIT                               115ML
        HOMOEOVIT                               225ML
        HOMOEOVIT                               450ML
 16     KOF AID                                 115ML



                                    2 of 4
                                                                      Ordered
S.NO.                           PRODUCTS          PACK SIZE
                                                                       QTY.
        KOF AID                                       200 ML
        KOF AID                                       450ML
 17     KOF AID PLUS                                  115ML
        KOF AID PLUS                                  200 ML
        KOF AID PLUS                                  450ML
 18     LIV AID                                       115ML
        LIV AID                                       200 ML
        LIV AID                                       450ML
 19     MENSO AID SYRUP                               115ML
        MENSO AID SYRUP                               200 ML
        MENSO AID SYRUP                               450ML
 20     MULLEIN OIL                                    15ML
 21     NASAL AID SPRAY                                10ml
 22     PENTA PHOS LIQUID                             115ML
        PENTA PHOS LIQUID                             200 ML
        PENTA PHOS LIQUID                             450ML
 23     RHEUM AID OIL                                  60ML
        RHEUM AID OIL                                 115ML
 24     RHEUM AID SYRUP                               115ML
        RHEUM AID SYRUP                               200 ML
        RHEUM AID SYRUP                               450ML
 25     SEPT AID                                      100ml
 26     SUPER TONIC                                   115ML
        SUPER TONIC                                   200 ML
        SUPER TONIC                                   450ML
 27     TONE AID PLUS                                 100 ML
 a(4)   BAKSON'S OINTMENTS
 (a)    AESCULUS                                       25gm
        APIS MELLIFICA                                 25gm
        ARNICA                                         25gm
        BELLADONNA                                     25gm
        CALENDULA                                      25gm
        CANTHARIS                                      25gm
        CHRYSAROBINUM                                  25gm
        ECHINACEA                                      25gm
        GRAPHITES                                      25gm
        HAMAMELIS                                      25gm
        HYPERICUM                                      25gm
        RHUS TOX                                       25gm
        RUTA                                           25gm
        SULPHUR                                        25gm
        THUJA                                          25gm
        URTICA URENS                                   25gm
 (b)    BAKSOINT-9                                     25gm
 (c)    BAKSOINT-10                                    25gm
 (d)    ACNE AID CREAM                                 25gm
 (e)    S-CURE CREAM                                   25gm
 (f)    RHEUM AID GEL                                  50gm

  B     Dr. BAKSHI'S HOMOEOPATHIC KITS
  1     Dr. Bakshi's HOMOEOPATHIC KITS            3.5 GM X 5 vials
  2     Dr. Bakshi's HOMOEOPATHIC KIT             3.5 GM X 1 vial
  3     Replacement Pack                          3.5 GM X 24 vials
  4     Combo Family Pack (5 Kits)                3.5 GM X 25 vials
  C     LACTOSE (HMS)
  1     LACTOSE (HMS)                                500 Gms
  2     LACTOSE (HMS)                                  1 Kg.
  D     UNDER HOMOEOPATHIC LICENCE
  1     BAKSON'S ARNICA MONTANA HAIR OIL              100ML
        BAKSON'S ARNICA MONTANA HAIR OIL              200ml
  2     HAIR AID GEL                                 75 GMS




                                         3 of 4
                                  Ordered
S.NO.   PRODUCTS      PACK SIZE
                                   QTY.




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