375332710.

xls 12/27/2017
BAKSON DRUGS & PHARMACEUTICALS
PVT. LTD.
UNIT II : Village Chouli Shahbuddinpur, Pargana
Bhagwanpur, Teh. Roorkee - 247667
Distt. Haridwar (Uttrakhand) Ph : 07409400198

Updated as on 05.12.2017
PATENTS TABLET/LIQUID ORDER FORM
Order Form
No. 280754
Date
Order Form GSTIN NO
No. AS/02/DEC 24/12/17
10ABCFM332
Name of Representative : ASHOK SHARMA 0N1ZN.
Name and Address of the party : MAHADEO HOMOEO PHARMACY,BIYALA Drug License
BHAWAN,M.P.DWIVEDI ROAD.BHAGALPUR No.

Document
through
Bank/Direct
DIRECT
Spl. Remarks :PL.ADJUST SHIVSHANKAR H. PHARMACY,BHAGALPUR BREACKAGE ADJUST INAdvance
THIS if
STATE : BIHAR
ORDER BECOUSE BOTH ARE SAME PARTY.BREACKAGE SENT TO PATNA DEPOT ON DT.14/6/17any DD/CH
GR
No.
NO.0002 SUNRISE TPT..WHICH DETAILS SENT TO H.O.BY PATNA DEPOT ON DT.2/11/17.PATENT MRP-
Free item name / qty. ( If applicable):
11133 COSMETICS MRP-8675(INCLUDING EXP).REGARDING EXP.PARTY TAIK TO H.O.FORDestination
ITS
ADJUSTMENT BHAGALPU
Transport Name : SUNRISE TPT. R

ITEM SKU PRODUCTS Ordered Qty.

SPECIALIT
IES -
SPECIALITIES - LIQUID — LIQUID —

FGLQ100004 ALFALFA TONIC — 115ML

FGLQ100005 ALFALFA TONIC — 200ML

FGLQ100006 ALFALFA TONIC — 450ML 16

FGLQ100007 ALFALFA TONIC ( SUGAR FREE ) — 115ML

FGLQ100009 ALFALFA TONIC ( SUGAR FREE ) — 450ML

FGLQ100085 ALFAVENA HOMOEO DRINK — 750ML

FGLQ100096 ALFAVENA MALT — 250GMS

FGLQ100097 ALFAVENA MALT — 450GMS 108

FGLQ100013 ASTHA AID — 115ML

FGLQ100014 ASTHA AID — 200ML

FGLQ100015 ASTHA AID — 450ML

FGDP100102 ASTHA AID DROPS — 100ML

FGDP100101 ASTHA AID DROPS — 30ML 24

FGLQ100018 BAKUNIL — 115ML 144

FGLQ100019 BAKUNIL — 200ML 48

FGLQ100020 BAKUNIL — 450ML

FGDP100085 BEE PEE AID — 100ML

FGDP100084 BEE PEE AID — 30ML 144

FGDP100087 BEE PEE AID PLUS — 100ML

FGDP100086 BEE PEE AID PLUS — 30ML

FGDP100179 CARD AID — 100ML

FGDP100178 CARD AID — 30ML

FGDP100090 DIAB AID — 30ML 144

FGLQ100104 DIGE AID SYRUP — 115ML

FGLQ100105 DIGE AID SYRUP — 200ML

FGLQ100106 DIGE AID SYRUP — 450ML

FGLQ100024 FEM AID — 115ML

FGLQ100025 FEM AID — 200ML

FGLQ100026 FEM AID — 450ML

FGLQ100027 FERRUM PLUS — 115ML

FGLQ100028 FERRUM PLUS — 200ML

FGLQ100029 FERRUM PLUS — 450ML 48

FGLQ100113 FEVO AID — 115ML

FGLQ100114 FEVO AID — 450ML

FGLQ100115 FEVO AID — 60ML 24

FGLQ100033 GASTRO AID — 115ML

FGLQ100034 GASTRO AID — 200ML

Printing Date / Time : 12/27/2017 08:41:39 1 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 375332710.xls 12/27/2017

ITEM SKU PRODUCTS Ordered Qty.

FGLQ100035 GASTRO AID — 450ML 80

FGDP100091 GO TOX — 30ML

FGLQ100084 GRIPE AID DROPS — 115ML

FGDP100182 GRO UP — 30ML 144

FGDP100187 HAIR AID (Twin Pack) — 30ML

FGLQ100119 HOMOEOVIT — 115ML

FGLQ100120 HOMOEOVIT — 225ML

FGLQ100121 HOMOEOVIT — 450ML

FGLQ100122 KOF AID — 115ML

FGLQ100123 KOF AID — 200ML

FGLQ100124 KOF AID — 450ML

FGLQ100155 KOF AID — 60ML

FGLQ100125 KOF AID PLUS — 115ML 144

FGLQ100126 KOF AID PLUS — 200ML

FGLQ100127 KOF AID PLUS — 450ML

FGLQ100156 KOF AID PLUS — 60ML

FGLQ100128 KOF AID PLUS ( SUGAR FREE ) — 115ML

FGLQ100130 KOF AID PLUS ( SUGAR FREE ) — 450ML

FGLQ100048 LIV AID — 115ML

FGLQ100049 LIV AID — 200ML

FGLQ100050 LIV AID — 450ML

FGLQ100051 LIV AID ( SUGAR FREE ) — 115ML

FGLQ100053 LIV AID ( SUGAR FREE ) — 450ML

FGLQ100054 MENSO AID SYRUP — 115ML

FGLQ100055 MENSO AID SYRUP — 200ML

FGLQ100056 MENSO AID SYRUP — 450ML 16

FGLQ100140 PENTA PHOS LIQUID — 115ML

FGLQ100141 PENTA PHOS LIQUID — 200ML

FGLQ100142 PENTA PHOS LIQUID — 450ML

FGLQ100074 PERIO AID ( MOUTH WASH ) — 100ML

FGDP100183 PROSTATE AID — 30ML

FGLQ100171 OIL BOUCHI-60ML

FGLQ100172 OIL BOUCHI-100ML

FGLQ100173 OIL BOUCHI-450ML

FGLQ100060 RHEUM AID OIL — 115ML 24

FGLQ100061 RHEUM AID OIL — 60ML

FGLQ100143 RHEUM AID SYRUP — 115ML 24

FGLQ100144 RHEUM AID SYRUP — 200ML

FGLQ100145 RHEUM AID SYRUP — 450ML

FGLQ100065 SEPT AID — 100ML

FGDP100184 SPONDY AID — 30ML 144

FGLQ100147 SUPER TONIC — 115ML

FGLQ100148 SUPER TONIC — 200ML

FGLQ100149 SUPER TONIC — 450ML

SPECIALIT
FGLQ100150 TONE AID PLUS — 100ML IES -
TABLETS
SPECIALITIES - TABLETS — —

FGCT100001 AC#4 — 75TAB

FGCT100153 AC#7 — 75TAB 24

FGCT100132 AC#9 — 200TABS

FGCT100133 AC#9 — 75TAB 72

FGCT100136 ALLER AID TABS — 200TABS

FGCT100137 ALLER AID TABS — 75TAB

FGCT100013 ASTHA AID TABS — 200TABS

FGCT100014 ASTHA AID TABS — 75TAB

FGCT100117 CALCI AID TABS — 200TAB

FGCT100028 CALCI AID TABS — 75TAB 144

FGCT100146 CALM AID TABS — 75TAB

FGCT100029 FLU AID — 75TAB

Printing Date / Time : 12/27/2017 08:41:39 2 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 375332710.xls 12/27/2017

ITEM SKU PRODUCTS Ordered Qty.

FGCT100033 GASTRO AID TABS — 200TABS

FGCT100034 GASTRO AID TABS — 75TAB 24

FGCT100036 HITE AID ( For Height) — 75TAB

FGCT100038 HOMOEOPATHIC FORMULA "D" TAB — 200TABS

FGCT100039 HOMOEOPATHIC FORMULA "D" TAB — 75TAB 432

FGCT100040 HOMOEOPATHIC FORMULA "P" TAB — 200TABS

FGCT100041 HOMOEOPATHIC FORMULA "P" TAB — 75TAB 24

FGCT100143 KOF AID TABS — 200TABS

FGCT100144 KOF AID TABS — 75TAB 48

FGCT100049 MIG AID TABS — 200TABS

FGCT100050 MIG AID TABS — 75TAB

FGCT100155 PELVI AID — 75TAB

FGCT100056 PHYTOLACCA BERRY — 200TABS

FGCT100057 PHYTOLACCA BERRY — 75TAB

FGCT100059 PILGO — 200TABS

FGCT100060 PILGO — 75TAB 96

FGCT100139 RHEUM AID TABS — 200TABS

FGCT100140 RHEUM AID TABS — 75TAB 288

FGCT100147 SINUS AID TABS — 75TAB 24

FGCT100151 TENSE AID — 200TABS

FGCT100152 TENSE AID — 75TAB 48

FGCT100067 THROAT AID — 200TABS

FGCT100068 THROAT AID — 75TAB

FGCT100071 TONSIL AID — 200TABS

FGCT100072 TONSIL AID — 75TAB 72

FGCT100149 WART AID — 75TAB 60

FGCT100148 WORM C — 75TAB 12

FGCT100077 Y- LAX TABS — 150TABS 192

TABLET
FGCT100078 Y- LAX TABS — 350TAB SPECIALIT
IES -
FGCT100079 Y- LAX TABS — 75TAB STRIP
PACKING
TABLET SPECIALITIES - STRIP PACKING — —

FGCT100008 ACNE AID TABLET — 5X10

FGCT100138 ALLER AID TABS — 5X10

FGCT100015 ASTHA AID TABS — 5X10

FGCT100027 CALCI AID — 5X10

FGCT100035 GASTRO AID TABS — 5X10

FGCT100031 HOMOEOPATHIC FORMULA "P" TAB — 5X10

FGCT100030 HOMOEOPATHIC FORMULA “D” TAB — 5X10

FGCT100145 KOF AID TABS — 5X10

FGCT100051 MIG AID TABS — 5X10

FGCT100058 PHYTOLACCA BERRY TABS — 5X10

FGCT100061 PILGO — 5X10

FGCT100141 RHEUM AID TABS — 5X10

FGCT100070 TONSIL AID — 5X10 PAEDIATRI

C RANGE
PAEDIATRIC RANGE ( FOR CHILDREN )
( FOR
CHILDREN
FGCT100002 AC#4 TABLET — 250TAB )

FGCT100154 AC#7 TABLET — 250TAB

Printing Date / Time : 12/27/2017 08:41:39 3 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 375332710.xls 12/27/2017

ITEM SKU PRODUCTS Ordered Qty.

FGCT100134 AC#9 TABLET — 250TAB

FGCT100135 ALLER AID TABLET — 250TAB

FGCT100026 CALCI AID TABLET — 250TAB ( PAEDIATRIC )

FGCT100032 GASTRO AID TABLET — 250TAB

FGCT100037 HOMOEOPATHIC FORMULA “D” TABLET — 250TAB

FGCT100142 KOF AID TABLET — 250TAB

FGCT100048 MIG AID TABLET — 250TAB

FGCT100055 PENTAPHOS TABLET — 250TAB

FGCT100112 RHEUM AID TABLETS (PAEDIATRIC PACK)-250TABS

FGCT100069 THROAT AID TABLET — 250TAB

FGCT100073 TONSIL AID TABLET — 250TAB

FGCT100150 WART AID TABLET — 250TAB

B-
COMPOUN
B-COMPOUND — D —

FGCT100016 B-COMPOUND NO.1 — 100TABS

FGCT100017 B-COMPOUND NO.2 — 100TABS

FGCT100018 B-COMPOUND NO.3 — 100TABS

FGCT100019 B-COMPOUND NO.5 — 100TABS

FGCT100020 B-COMPOUND NO.6 — 100TABS

FGCT100021 B-COMPOUND NO.25 — 100TABS

FGCT100022 B-COMPOUND NO.28 — 100TABS

FGCT100023 B-COMPOUND NO.30 — 100TABS

FGCT100024 B-COMPOUND NO.42 — 100TABS

FGCT100025 B-COMPOUND NO.46 — 100TABS

COMBO
COMBO PACK ITEMS :- PACK
ITEMS :-
FGMS100002 RHEUM AID PLUS (TWIN PACK)
B-DROPS (No. 1 to 71 ) — ALL CLUBBED TOGETHER B-DROPS

FGDP100103 B DROP # 1 — 30ML

FGDP100104 B DROP # 2 — 30ML

FGDP100105 B DROP # 3 — 30ML

FGDP100106 B DROP # 4 — 30ML

FGDP100107 B DROP # 5 — 30ML

FGDP100108 B DROP # 6 — 30ML

FGDP100109 B DROP # 7 — 30ML

FGDP100110 B DROP # 8 — 30ML

FGDP100111 B DROP # 9 — 30ML

FGDP100112 B DROP # 10 — 30ML 48

FGDP100113 B DROP # 11 — 30ML

FGDP100114 B DROP # 12 — 30ML

FGDP100115 B DROP # 13 — 30ML

FGDP100116 B DROP # 14 — 30ML

FGDP100117 B DROP # 15 — 30ML

FGDP100118 B DROP # 16 — 30ML

FGDP100119 B DROP # 17 — 30ML 24

FGDP100120 B DROP # 18 — 30ML

FGDP100121 B DROP # 19 — 30ML

FGDP100122 B DROP # 20 — 30ML

FGDP100123 B DROP # 21 — 30ML

FGDP100124 B DROP # 22 — 30ML 72

FGDP100125 B DROP # 23 — 30ML 96

FGDP100126 B DROP # 24 — 30ML 60

FGDP100127 B DROP # 25 — 30ML 24

FGDP100128 B DROP # 26 — 30ML 12

Printing Date / Time : 12/27/2017 08:41:39 4 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 375332710.xls 12/27/2017

ITEM SKU PRODUCTS Ordered Qty.

FGDP100129 B DROP # 27 — 30ML

FGDP100130 B DROP # 28 — 30ML

FGDP100131 B DROP # 29 — 30ML 48

FGDP100132 B DROP # 30 — 30ML 24

FGDP100133 B DROP # 31 — 30ML

FGDP100134 B DROP # 32 — 30ML 24

FGDP100135 B DROP # 33 — 30ML 24

FGDP100136 B DROP # 34 — 30ML 96

FGDP100137 B DROP # 35 — 30ML

FGDP100138 B DROP # 36 — 30ML

FGDP100139 B DROP # 37 — 30ML

FGDP100140 B DROP # 38 — 30ML

FGDP100141 B DROP # 39 — 30ML

FGDP100142 B DROP # 40 — 30ML

FGDP100143 B DROP # 41 — 30ML

FGDP100144 B DROP # 42 — 30ML

FGDP100145 B DROP # 43 — 30ML

FGDP100146 B DROP # 44 — 30ML

FGDP100147 B DROP # 45 — 30ML

FGDP100148 B DROP # 46 — 30ML

FGDP100149 B DROP # 47 — 30ML

FGDP100150 B DROP # 48 — 30ML

FGDP100151 B DROP # 49 — 30ML

FGDP100152 B DROP # 50 — 30ML

FGDP100153 B DROP # 51 — 30ML

FGDP100154 B DROP # 52 — 30ML

FGDP100155 B DROP # 53 — 30ML

FGDP100156 B DROP # 54 — 30ML

FGDP100157 B DROP # 55 — 30ML

FGDP100158 B DROP # 56 — 30ML 83

FGDP100159 B DROP # 57 — 30ML

FGDP100160 B DROP # 58 — 30ML

FGDP100161 B DROP # 59 — 30ML

FGDP100162 B DROP # 60 — 30ML

FGDP100163 B DROP # 61 — 30ML 48

FGDP100164 B DROP # 62 — 30ML 12

FGDP100165 B DROP # 63 — 30ML

FGDP100166 B DROP # 64 — 30ML

FGDP100167 B DROP # 65 — 30ML

FGDP100168 B DROP # 66 — 30ML

FGDP100169 B DROP # 67 — 30ML

FGDP100170 B DROP # 68 — 30ML

ADDITION
FGDP100171 B DROP # 69 — 30ML AL FREE
%
FGDP100172 B DROP # 70 — 30ML SCHEME
ITEM
FGDP100173 B DROP # 71 — 30ML 24
{ Applica
( TOTAL QTY ) ble only
719
as per
ADDITIONAL FREE % SCHEME ITEM { Applicable only slabs} —
as per slabs} —

FGGL100014 GLOBULES # 60 — 1 KG.

FGGL100009 GLOBULES # 60 — 450GMS

FGGL100005 LACTOSE (HMS) — 1KG ADDITION
AL FREE
FGGL100004 LACTOSE (HMS) — 500GMS %
SCHEME
ADDITIONAL FREE % SCHEME ITEM { Applicable only
ITEM
as per slabs} —
{ Applica
FGGL100001 GLOBULES # 20 — 450GMS ble only
as per
FGGL100002 GLOBULES # 30 — 450GMS slabs} —

FGGL100003 GLOBULES # 40 — 450GMS ADDITION

AL FREE
( TOTAL QTY ) — % 0
SCHEME
ADDITIONAL FREE % SCHEME ITEM { Applicable only
ITEM
as per slabs} —
{ Applica
ble only
as per
Printing Date / Time : 12/27/2017 08:41:39 5 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 375332710.xls 12/27/2017

ITEM SKU PRODUCTS Ordered Qty.

FGGL100006 GLOBULES # 20 — 1 KG.

FGGL100007 GLOBULES # 30 — 1 KG.

FGGL100008 GLOBULES # 40 — 1 KG.

( TOTAL QTY ) — 0
TOTAL
TOTAL
G.TOTAL
( DECEMBER' 2017 )
CALCULATION OF FREE STOCKS SCHEME, IF APPLICABLE

SHILLU : Rs. 41,280.90

ROORKEE : ₹ 230,761.72
G.TOTAL ₹ 272,042.62
ELIGIBLE % 6%
FREE VALUE ₹ 13,846
T.O.VALUE ₹ 324,915.81
FREE VALUE ₹ 13,845.70

Printing Date / Time : 12/27/2017 08:41:39 6 of 8 ITEMS SUPPLIED FROM ROORKEE UNIT
 BAKSON DRUGS & 375332710.xls
PHARMACEUTICALS PVT. 12/27/2017

LTD.
UNIT I : SHILLU KALA, PARWANOO - 173220, DISTT. SOLAN
(H.P.)
PH : 01792-280032 FAX 280003

Updated as on 05.12.2017
PATENTS LIQUID/OINTMENTS ORDER FORM
Order Form
No. 44162
GSTIN NO
Order Form No. Date 24/12/17
10ABCFM3320
Name of Representative : ASHOK SHARMA N1ZN.
Name and Address of the party : MAHADEO HOMOEO PHARMACY,BIYALA Drug License
BHAWAN,M.P.DWIVEDI ROAD.BHAGALPUR No.
Document
through
Bank/Direct
DIRECT
STATE BIHAR Advance if any
DD/CH No.

Free item name / qty. ( If applicable):

WAY BILL NO. / ROAD PERMIT NO. : Destination

Transport Name : SUNRISE TPT. BHAGALPUR

ITEMS CODE PRODUCT NAME Ordered Qty.

Under
Homoeopat
Under Homoeopathic Licence —
hic Licence
—
FGLQ100016 ARNICA MONTANA HAIR OIL — 100ML
FGLQ100017 ARNICA MONTANA HAIR OIL — 200ML
FGEN100007 MULLEIN OIL — 10ML 60
HOMOEOP
FGEN100005 NASAL AID SPRAY — 10ML
ATHIC
HOMOEOPATHIC KITS KITS
FGMG100017 Homoeopathic Respiratory Kit — 1KIT
FGMG100016 Homoeopathic Pain Kit — 1KIT
FGMG100014 Homoeopathic Digestive Kit — 1KIT
FGMG100018 Homoeopathic Skin Kit — 1KIT
FGMG100015 Homoeopathic Miscellanaeous Kit — 1KIT
FGMG100013 Combo Family Pack (5 Kits) — 1KIT Under
Homoeopat
Under Homoeopathic Licence —
hic Licence
FGOG100012 HAIR AID GEL ( Under Hom. Licence ) — 75GRM. — 3
OPTHALMI
OPTHALMIC RANGE C RANGE
FGEN100001 CINERARIA EUPHRASIA EYE DROPS — 10ML. 24
FGEN100002 CINERARIA MARITIMA EYE DROPS — 10ML. 24
NUTRITIO
FGEN100003 EUPHRASIA EYE DROPS — 10ML. NAL 24
SUPPLEME
NUTRITIONAL SUPPLEMENT NT
FGST100001 Vitamin D Plus Tabs — 50tabs 288
FGST100003 Vitamin D Plus Capsule — 50 Capsules
FGST100002 Nail & Hair Aid Tabs — 50tabs
FGST100004 Slim & Fit ( Soft Gelatin Capsule ) — 50 Capsules
GENERAL
GENERAL OINTMENTS — OINTMENTS
—
FGOG100002 AESCULUS — 25GMS
FGOG100006 BAKSOINT-9 — 25GMS 36
FGOG100005 BAKSOINT-10 — 25GMS
TOTAL QTY 36
GENERAL
GENERAL OINTMENTS — OINTMENTS
—
FGOG100003 APIS MELLIFICA — 25GMS
FGOG100004 ARNICA — 25GMS
FGOG100007 BELLADONNA — 25GMS
FGOG100021 CALENDULA — 25GMS
FGOG100008 CANTHARIS — 25GMS

Printing Date / Time : 12/27/2017 08:41:39 7 of 8 ITEMS SUPPLIED FROM SHILLU UNIT
 375332710.xls 12/27/2017

FGOG100009 CHRYSAROBINUM — 25GMS 60

FGOG100010 ECHINACEA — 25GMS
FGOG100011 GRAPHITES — 25GMS
FGOG100013 HAMAMELIS — 25GMS
FGOG100014 HYPERICUM — 25GMS
FGOG100022 RHUS TOX — 25GMS
FGOG100016 RUTA — 25GMS
FGOG100018 SULPHUR — 25GMS
FGOG100019 THUJA — 25GMS
FGOG100020 URTICA URENS — 25GMS
TOTAL QTY ACNE60AID
CREAM/SCU
ACNE AID CREAM/SCURE/RHEUM AD GEL — RE/RHEUM
AD GEL —
FGOG100024 ACNE AID CREAM — 30GMS 200+16
FGOG100017 S-CURE CREAM — 30GMS 70+2
FGOG100015 RHEUM AID GEL — 50GMS 108+36
TOTAL QTY 0
TOTAL
TOTAL
G.TOTAL
( DECEMBER' 2017 )
CALCULATION OF FREE STOCKS SCHEME, IF APPLICABLE

SHILLU : Rs. 41,280.90

ROORKEE : Rs. 230,761.72
G.TOTAL Rs. 272,042.62
ELIGIBLE % 6%
FREE VALUE ₹ 2,477
T.O.VALUE 324915.81
FREE VALUE ₹ 2,477

Printing Date / Time : 12/27/2017 08:41:40 8 of 8 ITEMS SUPPLIED FROM SHILLU UNIT