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Ramansh Hospital & Research Center - Pharmacy Bhopal
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Name of Employee
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Your answer
Contact No.
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Your answer
Name of Medicines used in your family per month along with Name of company and quantity required.
1.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
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Your answer
2.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
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Your answer
3.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
*
Your answer
4.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
*
Your answer
5.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
*
Your answer
6.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
Your answer
7.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
Your answer
8.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
Your answer
9.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
Your answer
10.
a. Name of Medicine .........................
b. Name of Company ........................
c. Quantity .....................................
Your answer
Email
*
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We are Providing 15 to 50% discount on MRP of OTC and Prescription medicine as applicable.
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