KIVI LABS LTD.

MONTHLY REQUIREMENT OF SAMPLES / STATIONARY

NAME OF MR:- DATE :-
H.Q.:- FOR THE MONTH :-
Name of Pro!"#/S#a#$o%ar&
STATIONARY HELACT S OINTMENT
Daily Planner ISOTINO 20 CAP.
Expense Statement Pa !I"ICET # $0 TA%LET
Inter &''i(e Mem& Pa !I"ICORT#) TA%
*l&ssary !I"ICORT S+SPENSION
Pr&,(t Lea-e %e.in !I"/OLE CREAM
Reminer Car !LIN0ACE # N *EL
Orer %&&1 !LIN0ACE # A *EL
"isitin2 (ars !LOCET # 3 TA%LET
!TRA4 $0 TA%
ACICET # 500 TA%LET !+"ADE4 20 TA%
%IO!ARE 0ORTE TA%. NANO*RAM 230 TA%LET
%IO!ARE OD TA%. NANO*RAM S+SPENSION
!TRA4 SYR+P NT0+N* TA%LET
C+REMITE CREAM "ICLO% CREAM
ELCICAST TA% "ICLO% # N CREAM
ESLOT TA% "ICLO% # M CREAM
ETINO 0.023 CREAM "ICLO% # S OINTMENT
0E4OCET # $60 TA%LET "IMET CREAM
0E4OCET S+SPENSION TER%OCET CREAM
0+SIATE OINTMENT TER%OCET 230 TA%
0+SIATE % CREAM TRACO*OLD CAP.
*ASTROPAN#IT CAP CETA!LIN 7"CLEAN8
*ASTROPAN#50 TA% "INI*EL
*LO9TAN CREAM M+PICET OINT.
HELACT CREAM "ICLO% # MN
!TRA4 DROPS
MY!ET /P
S$'%a#!re of MR :- A((ro)e *& :-
Ba+a%"e L&$%' a,
o% --A.
Re/!$reme%# for
#0e Mo%#0 --B.
Sam(+e -Name of Pro!"#.
Ba+a%"e L&$%' a,
o% --A.
Re/!$reme%# for
#0e Mo%#0 --B.
SAMPLE -Name of Pro!"#.