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From : HMGPP(Digboi) To : Digboi

Date : 09-11-2021 License No. AS23 20170071533

Vehicle No. : AS-06-BC 4899 (Ambulance) Driver Name : Nayan Moni Khanikar
Sl. No. Item Quantity Remarks
1 DCP, 2Kg 2 nos  

 
2 Oxygen cylinder whit accessories 1 nos
3 Stretcher 1 nos  

       
       

       
       

       

Total = 4 nos  

   
  Authorised Signatory Receiver Signatory
Gitartha P.G. Boruah Nayan Moni Khanikar