ZIUS MEDICRON LTD.

DAILY WORK REPORT

NAME OF PSR/TSM. :- ... H.Q. : .. PLACE WORKED :- ... WORKED WITH :- . REPORT NO. : ... DATE :- . Nutcl Nutcl Nutrfr Nutrfr Tonoliv Uvent Cynbt Cynbt Cynbt Gasd Gasd Gel Luzi Lycovir Uvent Uvent Zenase SPECIA DATE OF Azmc Azmc Alka S.no. DOCTORS NAME QUAL. Cloa-P F F Syp OZ OZ Syp DSR O XT XT Syp Sily Syp BRO Syp HBR Syp Codiene Tab 200 Q-cid Syp Comp/syp syp LITY LAST VISIT 500 Syp

Samples Distributed Today Samples Received Today Samples C/F

Details of Gifts Given Today :S.No.

Name of Chemist

Value Of No. Of Doctors Met Today . Orders No. Of Doctors B/F. No.Of Doctors C/F.. Competitor's Activity :

Value Of Orders Today. Value Of Orders B/F. Value Of Orders C/F.. Stockist Visit Details :

Suggestions & Comments :

Total Value Rupees.

Total Dr's Met Today :- Gyn-----------, Paed ----------, G.P. ___________, Ortho-----------,Surg-----------,Gastro__________, Others, ____________, Total =
Signature Of PSR/TSM. :.. * Report should be sent on daily basis to H.O. & Managers through mail. Date Of Posting : .................................... * Report not sent on timely basis will be treated as leave.

DICRON LTD.
WORKED WITH :- . REPORT NO. : ... DATE :- .
Zeptol Syp

WORK REPORT

Value Of Orders Today. Value Of Orders B/F. Value Of Orders C/F.. Stockist Visit Details :

___, Others, ____________, Total =

Date Of Posting : .................................... * Report not sent on timely basis will be treated as leave.

ZIUS MEDICRON LTD. WORK PLAN FOR THE YEAR

Name of PSR/TSM :H.Q. :Day :S.No. 1
2 3 4 5 6 7 8 9 10 11

Report No. :Working Place :Area / Terriotary Qual. Speciality Time of call Product Selected for detailing

Doctor's Name

12 13 14
15 16

ZIUS MEDICRON LTD.

PSR/TSM/ASM/RSM Monthly Report
Name of PSR/TSM/ASM/RSM :- ____________________________, Month :- ________________ Call Details for the last Month Current Month Target Details
Average Gastro Others
Monthly Tgt. Monthly Ach

Surg.

Total

Paed

Gyn

G.P

Speciality

Ortho

Product

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Stockist -> Products

Total

Total Value

*Monthly Report should be sent to H.O.,ASM & RSM after closing by 2nd of next month positively.

No. of Calls Cummulative No.of Chemist Calls in month = Average of Chemist Calls in month =

Azemac-500 Syp. Azemac-200 Syp. Alkasyp Tab Cynobact-200 Plan For New DoctorsConversion Syp. Cynobact-OZ Per month Name of Dr's Speciality Products Potential Cap.Gastracid-DSR Syp. Gastracid-O Gel Q-cid-MPS Syp Luzi Tab/Syp Lycovir Comp. Tab. Nutrocal-F Syp Nutrocal-F Tab. Nutrofer-XT Syp. Nutrofer-XT Syp. Tonoliv-Sily Syp.Uvent-BRO Syp. Uvent-HBR Syp. Uvent-Codine Tab.Zenase Syp. Zeptol TOTAL VALUE Plan for next month target:

ZIUS MEDICRON LTD.

TERRIOTARY DOCTORS LIST Name:__Gaurav_Tyagi____________________________________,
MCL NO Name of Doctors & Address Speciality Dates Marriage Anniversary Date of Birth Tel / Mobile: Marriage Anniversary JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

YEAR : ___2013________

QUAL.

Core & Others

Potential Per month JAN

HQ:_Muzaffarnagar_________________ Date of Visit

FEB MAR APR MAY JUN

Date of Birth Tel / Mobile: Marriage Anniversary

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

Date of Birth Tel / Mobile: Marriage Anniversary

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

Date of Birth Tel / Mobile: Marriage Anniversary

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

Date of Birth Tel / Mobile: Marriage Anniversary

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

Date of Birth Tel / Mobile: Marriage Anniversary

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

Date of Birth Tel / Mobile:

JUL

AUG

SEP

OCT

NOV

DEC

ZIUS MEDICRON LTD.

Monthly Tour Programme
Name:-_____________________, H.Q.:-________________ , Month :-_______________
HQ/EX/OST

Date

Place of work

Contact Details while on tour

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Details of working:HQ: EX: OST: SUN: LEAVE: Holidays: Total Working Days: Signature of PSR/TSM/ASM/RSM:-_____________ Approved By :- __________________
*Tour Programme should be sent to HO. & Manager by mail before 20th of every month for the coming month.

ZIUS MEDICRON LTD.

Monthly Expense Statement
Allowance Mode of Travel

Area Worked

EX/ Distance OST (in Km.)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Total Fare and Allowances

Total Expenses Rs. Addition/Deduction Rs.

Date

Traveled

Fare

Name:____________________________, Desig._______________________, HQ:______________________, HQ/ Total

Month:__________,

Other Misc. Expenses Postage & Courier Rs. Fax Bills Rs. Xerox Bills Rs. Pre-approved Gift to Dr's Rs. CME arranged Rs. Sponsorships to Dr's Rs. Mobile & STD Bills Rs. Stationery Bills Rs. Net Surfing or Reporting Rs. Miscellaneous Exp. Rs. Details of Working No. of HQ: No. of EX: No. of OST: Sunday: Leave : Holidays : Total No. of days Worked: Total Misc. Exp.

Signature:____________________, Date_____________,

Net Payable Rs.

*All the supporting vouchers, letters of prior permission, Hotel bills & other miscellaneous bills should be attached properly alongiwth this statement is compulsary for reimbursement of such type of claimed expenses. * Expenses may positively reach to your manager by 5th of each month by courier .

onth:__________,

Misc. Expenses

age & Courier

Fax Bills

Xerox Bills

roved Gift to Dr's

ME arranged

orships to Dr's

le & STD Bills

tionery Bills

fing or Reporting

ellaneous Exp.

ls of Working

al No. of days

l Misc. Exp.

ills should aimed expenses.

ZIUS MEDICRON LTD.

STANDARD FARE CHART Name of PSR/TSM/ASM/RSM :_________________________________________________,
Area From

HQ

_________________________,

Sr. No.

Name of The Town

Expected Business & Calls in No's Distance in To Be Covered Fare (One *NO. of Visits HQ/EX/OST Km. (One Allowance *Busi. (IN Per (which town) Way) only month *DR *Chem Way) only VALUE)

1 2 3 4 5 6 7 8 9 10 11 12

Sign of PSR/TSM:-_______________________

*No. of Days in HQ *No. of Days in EX-HQ *No. of Days in OS

* Total approximate Expense/Month: Rs.______________/-

Approved by ASM/RSM: _________________

*No. of Days in TRANSIT

Note: 1) The ASM has to update SFC in the event of change in territory concerned by ASE.
2) Expenses will be reimbursed based on Standard Fare Chart only. Incomplete format will not be accepted. 3) Expenses should not be more than approximate expense. Kindly note that, all infrormation marked (*) is compulsary.