Unit 203 Lapanday Center, 2263 Pasong Tamo Ext. Makati City, 1231 Philippines Tel. No.

(632) 8937439 / (632) 8932879 Fax No. (632) 8933498 TIN 229-171-508-000-VAT

SALES ORDER
Customer : Address : Contact No. MR Name : ITEM NO. Dra. Melissa Lazaro The Medical City Ortigas 11th floor MATI Bldg. Room 1110 Meralco Ave. Ortigas Pasig City 9064141471 Customer No. DSM Name: Ann M.Roces-Granados Cindy M. Carpio/ D502 ITEM DESCRIPTION GENERIC NAME Cefuroxime Axetil Clotrimazole Beclomethasone Dipropionate Clotrimazole Clotrimazole+Beclomethasone Dipropionate+Gentamicin Sulfate Ciprofloxacin 500mg Floucinolone Acetonide Dextromethorpan Hydrobromide Aloe Vera + Vitamin E Famotidine

NO.

27013

Date : 24-May-13 Delivery Date : ASAP as per Dra. Lazaro Terms : PDC 30 Contact Person/Authorized Representative :

Ms. Ems (secretary)

PACK QTY FG UNIT PRICE AMOUNT

60041 60042 60015 60014 60052 60031 60029

Altacef 250mg tab 50's Altacef 500mg tab 50's Candibec cream 5gm Candibec cream 15gm Candibec Lotion 15ml Candiva cream 5gm Candiva dusting powder 30g
Combiderm

Box Box Tube Tube Bottle Tube Bottle

Tube

30

10

243

PhP7,290

60035 60017 60007 60040 60009 60008 60027 60028 60002 60005 60046 60001 60004 60049 60060 60056 60018 60044 60045 60003 60010 60053 60054 60055 60057 60011 60012 60026

Ciproglen 500mg TAB 100's Cynozet cream 5gm Cynozet lotion 15ml Dexof lozenge 5mg 100's Elovera cream 25gm Elovera cream 50gm Famorila 20mg TAB 100's Famorila 40mg TAB 100's Foskina Ointment 15gm Foskina Ointment 5gm Foskina-B Ointment 5gm Glevate cream 15gm Glevate cream 5gm Glevo 500mg tabs 25's Glevo 250m tabs 25's Glevo IV 500mg/100ml Klenzit gel 5gm Klenzit MS gel 15gm Maclar 250mg 28's Maclar 500mg 28's Momate cream 5gm Momate ointment 5gm Pecof Syrup 60mL Pecof Tablet 100's Perigard-2 2mg 100's Perigard-4 4mg 100's Propilan 30mg 100's Scalpex Shampoo 30mL Scalpex Shampoo 60mL Xmet 500mg TAB 100's

Box Tube
Bottle

Mupirocin

Clobetasol Propionate

Levofloxacin

Adapalene Clarithromycin Mometasone Furoate Salbutamol Bromhexine HCL Guiafenesin Perindopril Erbumine Lansoprazole 30mg capsule Ketoconazole + ZPTO Metformin HCL

Box Jar Jar Box Box Tube Tube Tube Tube Tube Box Box Bottle Tube Tube Box Box Tube Tube Bottle Box Box Box Box Bottle Bottle Box

50

50

395

PhP19,750

TOTAL
CLINIC SCHEDULE/Best time to Deliver :

TOTAL PHP
Order by / Date :

PhP27,040

Mon & Wed 10am-4pm / Fri & Sat 10am-3pm

(ok)
SIGNATURE OVER PRINTED NAME

REMARKS/DELIVERY INSTRUCTIONS :

Approved by / Date :

PLEASE CALL BEFORE ACTUAL DELIVERY DATE

Unit 203 Lapanday Center, 2263 Pasong Tamo Ext. Makati City, 1231 Philippines Tel. No. (632) 8937439 / (632) 8932879 Fax No. (632) 8933498 TIN 229-171-508-000-VAT

SALES ORDER
Customer : Address : Contact No. MR Name : ITEM NO. ITEM DESCRIPTION Customer No. DSM Name: Ann M.Roces-Granados GENERIC NAME Cefuroxime Axetil Clotrimazole Beclomethasone Dipropionate Clotrimazole Clotrimazole+Beclomethasone Dipropionate+Gentamicin Sulfate Ciprofloxacin 500mg Floucinolone Acetonide Dextromethorpan Hydrobromide Aloe Vera + Vitamin E Famotidine

NO.
Date : Delivery Date : Terms : Contact Person/Authorized Representative :

PACK

QTY

FG

UNIT PRICE

AMOUNT

60041 60042 60015 60014 60052 60031 60029

Altacef 250mg tab 50's Altacef 500mg tab 50's Candibec cream 5gm Candibec cream 15gm Candibec Lotion 15ml Candiva cream 5gm Candiva dusting powder 30g
Combiderm

Box Box Tube Tube Bottle Tube Bottle

Tube

60035 60017 60007 60040 60009 60008 60027 60028 60002 60005 60046 60001 60004 60049 60060 60056 60018 60019 60044 60045 60003 60010 60021 60053 60054 60055 60057 60011 60012 60026

Ciproglen 500mg TAB 100's Cynozet cream 5gm Cynozet lotion 15ml Dexof lozenge 5mg 100's Elovera cream 25gm Elovera cream 50gm Famorila 20mg TAB 100's Famorila 40mg TAB 100's Foskina Ointment 15gm Foskina Ointment 5gm Foskina-B Ointment 5gm Glevate cream 15gm Glevate cream 5gm Glevo 500mg tabs 25's Glevo 250m tabs 25's Glevo IV 500mg/100ml Klenzit gel 5gm Klenzit gel 15gm Maclar 250mg 28's Maclar 500mg 28's Momate cream 5gm Momate ointment 5gm Pecof Syrup 100mL Pecof Tablet 100's Perigard-2 2mg 100's Perigard-4 4mg 100's Propilan 30mg 100's Scalpex Shampoo 30mL Scalpex Shampoo 60mL Xmet 500mg TAB 100's

Box Tube
Bottle

Mupirocin

Clobetasol Propionate

Levofloxacin

Adapalene Clarithromycin Mometasone Furoate Salbutamol Bromhexine HCL Guiafenesin Perindopril Erbumine Lansoprazole 30mg capsule Ketoconazole + ZPTO Metformin HCL

Box Jar Jar Box Box Tube Tube Tube Tube Tube Box Box Bottle Tube Tube Box Box Tube Tube Bottle Box Box Box Box Bottle Bottle Box

PhP0 free

PhP0

TOTAL
CLINIC SCHEDULE/Best time to Deliver :

TOTAL PHP
Order by / Date :

PhP0

(ok)
SIGNATURE OVER PRINTED NAME REMARKS/DELIVERY INSTRUCTIONS :

Approved by / Date :

PLEASE CALL BEFORE ACTUAL DELIVERY DATE