Form: F-5

PEOPLE'S PRIMARY HEALTHCARE INITIATIVE/SRSO, SINDH

District Support Unit-Umerkot GRN#
Licensed Under Section 42 of the Companies Ordinance, 1984
GOODS RECEIVED NOTE (Receiving & Inspection Report)
Certified that the following goods that had been ordered under Purchase Order No_____________, dated 15.06.2011 (copy enclose) issued for approved Purchase
Requisition Form No_______Dated_ (copy enclosed) have been received in the SRSO Head Office Store by the undersigned on behalf of People's Primary
Healthcare Initiative (SRSO):-
Name of Vendor: : ___________________________________________________________________________
Address of Vendor: ___________________________________________________________________________
Vendor Delivery Challan Number: __________________________________________________________________
Vendor Delivery Challan Date: ____________________________________________________________________
Date of Receipt in PPHI Store:____________________________________________________________________
Date of Inspection: _____________________________________________________________________________
Date of Posting in Fixed/Non-Fixed Assets Inventory Register: _____________________________________________

Item
Specification/ Description of Quantity Quantity Quantity Quantity Unit Cost of Qty Posted at Folio No of Fixed
S # Code
Goods/ Services Ordered Received Rejected Approved Cost Received Assets Inventory Register
#

1
2
3
4
5
6
7
8
9
 Total Amount

Goods Inspected by: Received &Entered by:

Name: _________________________ Name:__________________________

Designation:______________________________ Designation: _________________________________________________