|
|
Delivery Note
DN No.: -
Case No.: -
Invoice No.: -
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Bill To:
Buyer's Finance Address
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Ship To:
Buyer's Pharmacy Address
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| Agency No. 機構號碼 | Customer Code | Order No. | Written Order No. | Delivery Date | Credit Terms (Days) | Due Date |
| - | - | - | - | - | - | - |
| Buyer Drug Code | Item Code | Description | Lot No. | Expiry | Quantity | UOM | Unit Price (HKD) | Amount (HKD) |
|---|---|---|---|---|---|---|---|---|
|
Remarks: |
Total | 0.00 | ||||||
| Delivery Charge | 0.00 | |||||||
| Extra Charge | 0.00 | |||||||
| Discount | 0.00 | |||||||
| Grand Total | 0.00 | |||||||
|
AI Health Pharmacy 藥之正向藥房 Address: - 地址：- Tel: - |
Received & checked by Pharmacist:
Pharmacist Signature:
Date: |
Authorized Stamp & Signature:
Signature:
Date: |
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