Mandatory details for Activity approval (Please do not change format)

Type of activity ( Lipid Camp / CME/RTM / OPD Camp / Others )

Date of Activity (DD/MM/YYYY)
Activity venue ( full address with pin code )
Name of Sales Executive
Contact No. of Sales Executive
HQ
BM Name
Region
Name of the Doctor / Speaker / Chairperson (full name)
P.code
Degree & Specialty
Expected No. of patients in camp / No. of Drs in CME-RTM
Expected cost other than the lab charge for Lipid Camp.
Or
Expected total cost for CME, RTM, OPD camp, Others.
Number of total camps done with this dr in this year
Number of total CME-RTM done with this dr in this year
Any other engagement activity in this year with same Doctor
Current business of Dr (Value in Rs.)/month
Approved By RM/SM/HO (mention name & approval date)
Name of SRL Coordinator
Contact person of SRL coordinator
If CME/RTM please mention topic