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  • 7/29/2019 DCR Format

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    MALVIYA NAGAR

    1,2,3.. Product Qty

    1 INDU KAWATRA GYN FEPANIL

    2 V. KAWATRA PHY FEPANIL

    3 M.C GUPTA PEAD FEPANIL

    4 S. BOUNTRA GP FEPANIL

    5 NAIM AKHTAR GP FEPANIL

    6 DALJEET RAI GP FEPANIL

    7 ASHOK GUPTA GASTRO FEPANIL

    8 DEEPA GUPTA GYN FEPANIL

    9 PARVEEN KHANDUJA PEAD FEPANIL

    10 SUNITA NAGPAL GYN FEPANIL

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    18/4/12

    Product Qty Product Qty

    LYSATONE

    DELCON

    LYSATONE

    LYSATONE

    LYSATONE

    LYSATONE

    LINTAZ

    LYSATONE

    LYSATONE

    LYSATONE

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

    10/62

    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

    14/62

    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

  • 7/29/2019 DCR Format

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    MALVIYA NAGAR

    1,2,3.. Product Qty

    1 INDU KAWATRA GYN FEPANIL

    2 V. KAWATRA PHY FEPANIL

    3 M.C GUPTA PEAD FEPANIL

    4 S. BOUNTRA GP FEPANIL

    5 NAIM AKHTAR GP FEPANIL

    6 DALJEET RAI GP FEPANIL

    7 ASHOK GUPTA GASTRO FEPANIL

    8 DEEPA GUPTA GYN FEPANIL

    9 PARVEEN KHANDUJA PEAD FEPANIL

    10 SUNITA NAGPAL GYN FEPANIL

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1 NARAG

    2 MANAV Doctors Me

    3 MEDIWORLD Chemist M

    4 APOLLO Orders Boo

    5 ARVEE Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    18/4/12

    Product Qty Product Qty

    LYSATONE DELBI

    DELCON DELBI

    LYSATONE PRESSCLAV

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE DELBI

    LINTAZ DELBI

    LYSATONE DELBI

    LYSATONE PRESSCLAV

    LYSATONE PRESSCLAV

    Day cum

    t 10 133

    t: 5 71

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    G.K-1

    1,2,3.. Product Qty

    1 A.M DESHPANDEY BDS FEPANIL

    2 S. DESHPANDEY BDS FEPANIL

    3 CHRANJEET KAUR GYN FEPANIL

    4 N. BHARDWAJ PHY FEPANIL

    5 BHAWANA MISHRA PEAD FEPANIL

    6 SURAJ PRAKASH ORTHO FEPANIL

    7 JITENDER LEEL GP FEPANIL

    8 M.M RAY GP FEPANIL

    9 BARAT BHUSHAN GP FEPANIL

    10 MOHD. RIZWAN GP FEPANIL

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1 SATYAM

    2 KAMAL Doctors Me

    3 MEHTA Chemist M

    4 VIKRAM Orders Boo

    5 AGGRAWAL Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    19/4/12

    Product Qty Product Qty

    PRESSCLAV

    PRESSCLAV

    LYSATONE DELBI

    DELCON PRESSCLAV

    LYSATONE DELBI

    KOACT PRESSCLAV

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE DELBI

    Day cum

    t 10 143

    t: 5 76

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Date :

    20/4/12

    Product Qty Product Qty

    LYSATONE DELBI

    DELCON DELBI

    DELCON PROXTL

    DELCON DELBI

    LYSATONE PRESSCLAV

    DELCON PROXTL

    LYSATONE PRESSCLAV

    LYSATONE DELBI

    LYSATONE PRESSCLAV

    LYSATONE PRESSCLAV

    Day cum

    t 10 153

    t: 5 81

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    KALKAJI & GOVIND PURI

    1,2,3.. Product Qty

    1 SUNITA MEHTA GYN FEPANIL

    2 VIJAY KUMAR GP FEPANIL

    3 DINESH LUTHRA GP FEPANIL

    4 J.S BATRA GP FEPANIL

    5 SMARTH KUMAR SRIVASTAV GP FEPANIL

    6 A.K GUPTA GP FEPANIL

    7 J.K SHARMA GP FEPANIL

    8 SUNITA SHARMA GYN FEPANIL

    9 N.K ARORA GP FEPANIL

    10 MADHU ARORA GYN FEPANIL

    11 SHAMSUL ARIFEEN GP FEPANIL

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1 SHARMA

    2 SAVI Doctors Me

    3 PREM SONS Chemist M

    4 ARUN Orders Boo

    5 ANUBHAV Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    21/4/12

    Product Qty Product Qty

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE DELBI

    DELCON DELBI

    DELCON DELBI

    LYSATONE DELBI

    DELCON DELBI

    LYSATONE PRESSCLAV

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE DELBI

    Day cum

    t 11 164

    t: 5 86

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    Place of Work: W with : Division

    SUNDAY

    1,2,3.. Product Qty

    NO CALL

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    22/4/12

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    EAST OF KAILASH & SAMA ASM & RSM

    1,2,3.. Product Qty

    1 B.K SETHI GP FEPANIL

    2 SANTOSH SETHI PEAD FEPANIL

    3 MINNI BHATIA GP FEPANIL

    4 H.S KAPOOR GP FEPANIL

    5 KAVITA SAMA GYN FEPANIL

    6 S.K SAMA GASTRO FEPANIL

    7 O.P SHARMA PHY FEPANIL

    8 SOURABH MODHA ORTHO FEPANIL

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1 VASHIST

    2 KAPTON Doctors Me

    3 SREE KRISHNA Chemist M

    4 CURE WAYS Orders Boo

    5 AMRIT Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    23/4/12

    Product Qty Product Qty

    LYSATONE DELBI

    LYSATONE DELBI

    LYSATONE PROXTL

    DELCON PRESSCLAV

    LYSATONE PRESSCLAV

    LINTAZ CEFACTUM

    LINTAZ CEFACTUM

    KOACT CEFACTUM

    Day cum

    t 8 172

    t: 5 91

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : IMRAN KHAN Head Quarter:

    SOUTH DELHI

    Place of Work: W with : Division

    AMAR COLONY ASM

    1,2,3.. Product Qty

    1 B.D SACHDEVA GP FEPANIL

    2 MANISH KALRA BDS FEPANIL

    3 GEETA KALRA BDS FEPANIL

    4 P.K MUKERJEE GP FEPANIL

    5 DILEEP CHUGH GP FEPANIL

    6 SUNIL WADHWA PHY FEPANIL

    7 HEMANT SAHANI GP FEPANIL

    8 NEELAM KAPOOR GYN FEPANIL

    9 H.L NAWLAKHA PHY FEPANIL

    10 HELAI GUPTA GYN FEPANIL

    11 SANJAY TONDON PEAD FEPANIL

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1 ISHA

    2 MEDI POINT Doctors Me

    3 DHINGRA Chemist M

    4 MEDICINE CORNER Orders Boo

    5 PARAS Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    24/4/12

    Product Qty Product Qty

    DELCON PRESSCLAV

    PRESSCLAV

    PRESSCLAV

    LYSATONE DELBI

    DELCON DELBI

    DELCON PRESSCLAV

    DELCON DELBI

    LYSATONE PRESSCLAV

    LYSATONE PRESSCLAV

    LYSATONE PRESSCLAV

    LYSATONE PRESSCLAV

    Day cum

    t 11 183

    t: 5 96

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Dr.

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

  • 7/29/2019 DCR Format

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    il, C2 - Non Antibiotics, C3 - Antibiotics (meant for veritaz)

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.

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    61/62

    Name : Head Quarter:

    Place of Work: W with : Division

    1,2,3.. Product Qty

    Sl

    NO

    CL

    NOCHEMIST NAME

    1

    2 Doctors Me

    3 Chemist M

    4 Orders Boo

    5 Orders Val

    67

    8

    9

    10

    (C1 Fepan

    Date & Signature of the Sales Officer

    Instit

    D

    MSL of the dr.

    attachedPOB value

    DAILY WORK REPORT

    Sl.

    No

    MSL

    No.DOCTOR'S NAME

    Qualifica

    tion

    Doctor

    POB

    Value

    VisitC1 *

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    62/62

    Date :

    Product Qty Product Qty

    Day cum

    t

    t:

    ked

    e

    tions / NGO's / GO's / stockists visited with activity details

    tails

    C3 * giftgiven

    LBLLocal

    CME (put

    tick)

    Summary of WorkNames of the Doctors Converted

    with details

    Inputs given to the doctor

    C2 *

    Veritaz Healthcare Limited,Regd. Off: H.No:1-121/1, Survey No.66

    (Part) & 67 (Part),Miyapur, Serilingampally Mandal,Hyderabad - 500 049.