GRN
SH
Shree Medi Store
12, MG Road, Andheri West, Mumbai
Maharashtra — 400053
Ph: +91-98200-12345
GSTIN: 27ABCDE1234F1Z5
DL No. 20B-MH-123456 / 21B-MH-123457
Goods Receipt Note — Purchase Acknowledgement
No: GRN/25-26/000871
Dt: 22-09-2026 09:15
Supplier (distributor)
Apex Pharma Distributors
88, MIDC Industrial Area, Mumbai
Invoice: APD/25-26/11402 · 21-09-2026
GSTIN: 27ABCDE9999K1Z1
Maharashtra (27) · 400093
Ph: +91-98210-77889
References
PO/25-26/000640
PO: PO/25-26/000640
LR No: LR-884102
EWB No: 2714 0088 2211
| Sl | Product (Batch / Exp / HSN) | Billed qty | Received qty | Rejected | Claim qty | Amount |
|---|---|---|---|---|---|---|
| 1 | Dolo 650Micro LabsD651204 · Exp 08/2027 · HSN 3004 | 200 STRIP | 200 STRIP | — | — | ₹96,000.00 |
| 2 | Insulin GlargineBioconGL10987 · Exp 11/2026 · HSN 3004Cold-chain verified 4°C | 20 VIAL | 20 VIAL | — | — | ₹28,400.00 |
| 3 | Azithral 500AlembicAZ88231 · Exp 03/2027 · HSN 3004 | 500 TAB | 500 TAB | — | — | ₹38,000.00 |
- Billed value
- ₹1,62,400.00
- Rejected (units)
- 0
- Claim qty (units)
- 0
- Round-off
- ₹0.00
- Grand Total
- ₹1,62,400.00
In words: Rupees One Lakh Sixty Two Thousand Four Hundred Only
Received in full — no claim.
Receipt condition
- • Cold-chain: OK — 2–8 °C verified on receipt.
- • Storage location: Rack B-4 · vials to cold storage 2–8°C.
- • Receipt verified by Pharmacist: R. Sharma (MH-PCI-48210).