Name of the Division_MOM & KID DIVISION____ Doctors Promotional Activity Requisition 1) Name Doctor Details : Address Head

Quarter NAGPUR Email id Contact No SVL No & Speciality of Doctor gyn Top 2 brands prescirbed

DR. MEENAL S.BHURE

DHANVANTARI NURSING HOME, NEAR BUS STAND TUMSAR.

9422132688

Arginitric sachet.arg.sr.tab

2) Business of the doctor ( Atleast 1 focus brand of Vision 100 as per specialty ) Name of Dr Current Potential of Doctor Value in Rs in lac/mth Present business for Medreich Expected after activity

Competitor Brands grownine Dr. meenal bhure

Product

Quantity/mth

Product Mention at No1 focus Product

Quantity/mth

1000

Arginitic 200sachet/50stp 1)arginitric sachet sachet,arginitric sr tab 2)grecal sr tab 100 stp grecal 3)arg sr

300sachet 150stp 30

Total Value

10000

14000

Approval from Sales team Name Designation DSM ZSM SM DGM Date Signature/Approval comments

Expense/Sales Ratio :
Months ( Last 6 months) Specify months Jul2011 Aug2011 Sept2011 Oct2011 Nov2011 Dec2011 3) Activity : Activity Details & Value of Activity in Rs Cheque to be drawn Name of Dr/Relative relation/others Dr.meenal bhure Date of Previous Activity Details of Previous Activity & Returns Nothing Secondary in lacs 2.52 2.83 3.23 3.11 3.48 3.50 Primary in lacs 4.28 3.50 3.39 3.58 3.70 3.04

Crm of rs.20000,

nothing

4) FF

Visit Details : 7th oct/21st oct Date of Visit for last 3 months 9th nov/26th nov 7th dec/17th dec 9th nov 17th dec

TM AM RSM ZSM SM DGM-Sales 5) Chemist

7th oct

Chemist Name

Address

Contact Person PRAKASH

Tel No/Mob No 9890094950

DHANVANTARI MED NEAR BUS STAND TUMSAR

6) Stockist Stockist Name SAIBABA AGENCIES Address GANDHI CHAUK ,BHANDARA. Contact Person GAUTAM GHOSH