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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: Date: 30-04-2026
College: College of veterinary Science and A.H. Department: VLD, Veterinary Clinical Complex
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‚Ή1,000.00

Purpose & Justification:
Print rolls are required for the CBC machine for daily testing of blood samples of outpatients at VCC, DUVASU, Mathura. Approximately 25 samples are tested daily. It will be purchased at the lowest market rate due to the absence of a vendor at the GeM portal.


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 Print rolls NA Local brand 40.00 25.00 1,000.00
Specifications must be generic and non-proprietary (not brand specific).
Sub Total: β‚Ή1,000.00
GST: β‚Ή50.00
Grand Total: β‚Ή1,050.00
AMC Required: No AMC Duration: N/A

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: _____________