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LEADS PHARMA PVT LTD PHYSICIAN SAMPLE ACCOUNT MONTH WISE UTILIZATIO HYDERABAD MONTH & YEAR: NAME OF THE FSO: H. Q. : LIST OF PRODUCTS - PHISICIAN's SAMPLE QNTY IN UNITS MEXFYBER RESLON LEEMOL 650 LEEMOL SUSP NUTRAGEL NUTRAGEL SERATEX-10 STATUS CAPLET (2's) ( 60 ML ) MG TAB (2's) (60ml) SYP (60ML) MPS TAB(2's) TAB (2's) 1 OPENING BALANCE (BF) 2 RECEIVED FOR THE MONTH 3 TOTAL QNTY AVA FOR THE MONTH 4 USED IN THE MONTH (TILL DATE) 5 BALANCE QNTY IN THE MONTH EXPLANATIONS : * If any left over samples are there which were not used in the previous month will be inserted in the first row ( Opening Balance ) Fill up the quantity of samples received for the current month in the second row (Received for the month ), refer to the Phy Sample Proforma sent by PM * department * Sum up row No. 1 & 2 to get Total Qnty of Phy Samples availavle for the month in the third row. * Mention the total quantity of samples used for the month in thefourth row after totaling from the FWR (Used in the month ). * Subtract row No. 4 from row No. 3 to get balance samples in row No. 5 MONTH WISE UTILIZATION DETAILS NTY IN UNITS SERATEX-D KOFLES SYP LEEMOL-T TAB (2's) (60 ML) TAB (2's) alance ) hy Sample Proforma sent by PMT/Distribution h ).
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