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Careersamica2021-09-09T05:31:35+00:00

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Order Form

Stockists Name

Executive Name

Booking Date

DL No:

GST No:

Phone Number

Choose Your Products:

AMETONE TAB

AMETONE Junior 200ML SYP

AMETONE 200ML SYP

AMEREST CC Tab

AMEREST CC 100ML SYP

AMEREST LS 100ML SYP

AMEQUEEN 200 TAB

AMEQUEEN OZ TAB

AMECLAV-625 Tab

DIOO GEL

AMECOBAL-OD

AMECOBAL 5G

AMECOBAL-INJ

AMEPAN-40

AMEPAN-DSR

AMEMOL-P

AMEMOL-SP

AMECET-LC

AMECET-AM

AMEZEE-250MG

AMEZEE-500MG

Order form

Stockists Name

Booking Date

DL No:

GST No:

Phone Number

Choose Your Products:

AMETONE TAB

AMETONE Junior 200ML SYP

AMETONE 200ML SYP

AMEREST CC Tab

AMEREST CC 100ML SYP

AMEREST LS 100ML SYP

AMEQUEEN 200 TAB

AMEQUEEN OZ TAB

AMECLAV-625 Tab

DIOO GEL

AMECOBAL-OD

AMECOBAL-5G

AMECOBAL-INJ

AMEPAN-40

AMEPAN-DSR

AMEMOL-P

AMEMOL-SP

AMECET-LC

AMECET-AM

AMEZEE-250MG

AMEZEE-500MG

Book your samples today!

Doctor Name

Clinic Name

DL No/Reg No:

GST No:

Clinic Contact No:

Choose Your Samples:

AMETONE TABAMETONE 200ML SYPAMETONE Junior 200ML SYPAMEREST CC TabAMEREST CC 100ML SYPAMEREST LS 100ML SYPAMEQUEEN 200 TABAMEQUEEN OZ TABAMECLAV-625 TabDIOO GELAMECOBAL-OD

AMECOBAL-5GAMECOBAL-INJAMEPAN-40AMEPAN-DSRAMEMOL-PAMEMOL-SPAMECET-LCAMECET-AMAMEZEE-250MGAMEZEE-500MG