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STORE REQUISITION SLIP

U.P. Pt. Deen Dayal Upadhyaya Pashu-Chikitsa Vigyan Vishwavidyalaya
Evam Go-Anusandhan Sansthan, Mathura-281001 (UP)

Original Copy
Letter No: 159/Med/26 Date: 08-05-2026
College: College of Veterinary Science and Animal Husbandry Department: Department of Veterinary Medicine
Nature of Requirement: Recurring Funding Source: University Grant
Note: Each Indent must pertain to only one category.
Project/Scheme Title:
Sanctioned Amount (Enclosed Annexure ): β‚Ή0.00

Purpose & Justification:
Approved research programme (Synopsis) of Postgraduate student Dr Arpan Chauhan (enrollment no. - 1734/17) of the Department of Veterinary Medicine, academic year 2024-25

Details of Items:
S.N. Item Description & Catalogue No (if applicable) Specifications Make/Brand(Only in case of RC) Qty Unit Cost (β‚Ή) Approx Cost (β‚Ή)
1 Disposable gloves 50 pairs -- 3.00 350.00 1,050.00
2 Ice box/insulated container 2 lit. -- 2.00 3,000.00 6,000.00
3 Polythene Bag (Zip lock) collection of samples -- 100.00 7.00 700.00
4 Glass slide 9100 For microscopic examination -- 4.00 1,200.00 4,800.00
5 Bol. Fenbendazole 1.5gm 1.5 gm Dewormer -- 100.00 40.00 4,000.00
6 Common Salt/ NaCl lab grade 1 kg -- 3.00 50.00 150.00
7 Examination gloves For examination -- 5.00 100.00 500.00
8 Petri dish glass 10cm with lid 10cm -- 10.00 100.00 1,000.00
9 McMaster microscope slide Faecal egg count -- 3.00 3,500.00 10,500.00
Specifications must be generic and non-proprietary (not brand specific).
Sub Total: β‚Ή28,700.00
GST: β‚Ή5,166.00
Grand Total: β‚Ή33,866.00
AMC Required: No AMC Duration: NA

Description of item / Cost / Date of Purchase / Previous Repair Details and Estimated Repair Cost (Enclosed Annexure):
NA

Certification:
It is certified that the rates of the above items/services have been verified from different sources and found reasonable.( Enclosed rate reasonability Annexure )

(Indentor Signature)
Date: _____________
(HOD/Officer Signature)
Date: _____________
(Dean/Director Signature)
Date: _____________