LEXINE TECHNOCHEM PRIVATE LIMITED

UNIT-1 - SURVEY PLOT NO.373, OPP. RAMAKAKA DERI CHHANI

REG.OFF. UNIT-II - 76 PAIKI, MUKUTNAGAR, SOKHDA-MANJUSAR ROAD,
NEAR FMC, MANJUSAR, TA.: SAVLI, DIST.:VADODARA - 391775
EMAIL : info@lexinetechnochem.com, WEBSITE: www.lexinetechnochem.com

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RAW MATERIAL DISPENSING SLIP
To Production Department, Please receive following materials : Batch No. : T187 Slip No : LVAL/23/00065
Name Of Product : LISINOPRIL TABLET 5 MG Batch Size : 305000.00 TAB Date : 26-09-23
Mfg. Dt. : 09/23 Exp. Dt. : 08/26 Master Card No. : LEX-TAB0028
Product Code : TAB0028 Packing Qty. : 305000.00 TAB (10166.6) Revision : 0 Version : 000
Make : LEXINE Department : TABLET Location : VADODARA MRP : N.A. Mfg. Lic. No. :
Sr. Item Code Material Name Qt Qty. A.R. No. Qty. Issued/Batch (kg) Issued by Ckd.by Verified by Rcvd.by
No. Inward No y. Issued T. Wt. Net Wt. G. Wt. (Store) (Prod.) (QA) (Prod.)
Require
d
1 ORM0041 LISINOPRIL IP 1.678 1.678 KG RM-23-0666
LVAL0RM2300387 (E2006334) Potency : 99.9900 %
2 ORM0040 LACTOSE IP/BP/USP 51.240 51.240 KG RM-23-0555
LVAL0RM2300282 (15050) Potency : 100.2000 %
3 ERM0192 CROSS POVIDONE XL 10 USP IP/BP/USP 1.830 1.830 KG RM-23-0307
LVAL0RM2300025 (NA220510008)
4 ORM0060 PVPK -30 IH 1.830 1.830 KG RM-23-0690
LVAL0RM2300411 (PVP/225/0823) Potency : 99.9700 %
5 ERM0233 SODIUM STEARYL FUMARATE IP 0.458 0.458 KG RM-23-0728
LVAL0RM2300453 (SSF/089/2023) Potency : 99.9900 %
6 ERM0016 COLLOIDAL SILICON DIOXIDE [AEROSIL] 0.153 0.153 KG RM-23-0487
IP/BP/USP
LVAL0RM2300212 (5D0323B2-CABOT) Potency : 99.8200 %
7 ARA0160 TALCUM POWDER IP/BP/USP 1.525 1.525 KG RM-23-0456
LVAL0RM2300175 (TC-27F032023) Potency : 99.9900 %
8 ERM0078 MAGNESIUM STEARATE IP/BP/USP 0.763 0.763 KG RM-23-0107
LVAL0RM2200772 (MS20221204)

Total : 59.477 59.477 KG

UOM Wise Total : 59.477 59.477 KG

Std. Avg. Weight of TAB : 0.195 Mg.

Requisition & Dispensing - * require in standard Qty against Compensat Item and same if applicable.
Prepared By Checked By Approved By

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