Level 04

Document no.SY/PR/RM/04/01 RAW MATERIAL REQUISITION

SYNCHRO PHARMACEUTICALSs Revision no -02 Effective date 01/01/2017
B.NO G293 SYNMAC 01ML INJ
B.SIZE(L) 77 Ampoule 70000 DATE /h
MFG DATE 2022-03 EXP DATE 2024-03 PACK SIZE 1X 1.1ML
COM
BMR/STORE/ACC
RAW MATERIAL
STD REQUIRED CHECKED Bissued by VERIFIED BY
UNIT QTY QTY Q.R NO
MECOBALAMIN(750mcg/ml)98.75% GM 30
PROD w.H QA/QC
57.8
MANITOL (30.62MG/ML) 225 2.358125
22R1O222
MDTA
4
|22O23
.M.N 7.700 2P1D24
400 770.000
NaOH 01% 163
Qs
WATER FOR INJECTION
40
STANDARD BATCH :40000 AMPOULE
oAGE Over age 20.20% AS PER COA
OUT PUT 36363 ampoule
PH S.0-7.0
BULK VOLUME 77.00 LITERS
T.Vol/ampoule 1.1/ml
LIMIT 1.00 TO 1.10
DISPENSED BY ( STORES) APPROVED BY( QA)
VERIFIED EY ( QC) RECEIVEDBY (PROD}
(C6622
 Lev 04
Docu 0.SY/PE,RM/C4, RAW MATERIAL REQUISITION
SYNCHRO PHARMACEUTICALS
Revisioi no2 Effectdate 01/01/2017
B.NO G295
SYNMAC 01ML INJ
B.SIZE(L) 77 Ampoule 70000 DATE COM
MFG DATE EXP DATE 2024-03 PACK SIZE 1X 1.1ML BMR/STORE/ACC
S
RAW MATERIAL REQUIRED CHECKED Bissued by VERIFIED BY
UNIT QTY QTY Q.R NO PROD w.H
MECOBALAMIN(750mcg/ml)98.75%
MANITOL (30.62MG/ML)
GM 30 57.8 222MD 222
QA/QC
|KG 1.225 2.358125
EDTA GM 4 7.700
22PHO23
222MDLSY
P.M.N MG 400 770.000
NaOH 01% 13
ML Q.s QS
WATER FOR INJECTION
LIT 40
STANDARD BATCH: 40000 AMPOULE
9%AGE Over age : 20.20% AS PER COA
OUT PUT= 36363
ampoule
PH 5.0-7.0
BULK VOLUME 77.00 LITERS
T.Vol/ampoule 1.1 ml
LIMIT 1.00 TO 1.10 ml
DISPENSED BY (STORES)
APPROVED BY (QA)
VERIFIED BY (QC) RECEIVED BY ( PROD)
 ocu ent rno.SY/PR/RM/04/01 AW
MATERIL KiQUISITION
SYNCHRO PHARMACEUTICALS
Revision no -02
Lffective date 01/01/2017 SYNMAC 01ML INJ
B.NO G296
- B.SIZE(L) 77 Ampoule 70000 DAT
MFG DATE 2-03 EXP DATTE 2024-03 PACK SIZE
Osll2022 COM
1X 1.1ML BMR/STORE/ACC
RAW MATERIAL
STD REQUIRED CHECKED Bissued by VERIFIED BY
UNIT QTY QTY Q.R NO
MECOBALAMIN(750mcg/ml)98.75% GM 30
PROD w.H QA/QC
57.8
MANITOL (30.62MG/ML) .25
22KMo222
EDTA 2.358125 22kO243|
. .700
P.M.N 400
22RM02S4
NaOH 01% 770.000 1&3
Q.S
QS
WATER FOR INJECTION
77
STANDARD BATCH: 40000 AMPOULE
9%AGEOver age : 20.20% AS PER COA
OUT PUT= 36363 ampoule
PH 5.0-7.00
BULK VOLUME 77.00 LITERS
T.Vol/ampoule 1.1/ml
LIMIT 1.00 TO .10
ml
DISPENSED BY ( STORES)
APPROVEDBY (QA)
VERIFIED BY (QC)
fteit RECEIVED BY ( PROD)
#37222
 Level -04 Document
no.SY/PR/RM/04/011 RAW MATERIALREQUISITION
Effective date 01/01/2017
AKLOGESIC 03ML INJ IMM
Revision no -02
SYNCHRO PHARMACEUTICALS
COM
138 Ampoule
44516.1 DATE
B.NO G363 B.SIZE(L) 1X 3.1ML BMR/STORE/ACC
2024-07 PACK SIZE
2022-07 EXP DATE
MFG DATE VERIFIED BY
REQUIRED
CHECKED BY issued by
STD QA/QC
Q.R NOp PROD w.H
RAW MATERIAL UNIT QTY QTY
DICLOFENAC SODIUM (B.F) (25me / mi) KG 3.14 3.5 222HO22
PG (206.61mg/. KG 25.62 28.51 22 ioz1p
LIT 96 5.52 221226 2
BENZYL ALCOHOL (0.04ml/ml)
soDIUM METABISULPHITE (1.7mg/ml) GM 220.44 245.3 222 HOL90
GM 344.44 383.3 )22HOZ93
MANITOL (2.777mg/ml) 50 55.65
222Ho189
Sodium Hydroxide For pH adjustment GM
124 138
Water For Injection LIT
STANDARD BATCH:40000 AMPOULE
%AGE Over age : 0%
OUT PUT=37000 ampoule
PH 7.0-9.0
BULK VOLUME 138.00 LuITERS
T.Vol/ampoule 3.1 m
LIMIT 3.00 TO 3.10
m
DISPENSED BY (STORES) APPROVED BY (QA)I
VERIFIED BY (QC) L RECEIVED BY (PROD)
 ro.>Y/ "R/RM RAW 4TEA REQUISITION
SYNCHRO PhARMACEUTICALS Revision nc 2 Eftective date 01/01/2017 AKLOGESIC 3CC INJ
B..NO G352 B.SIZE(L) 140722 COM
217 Ampoule 70000.0 DATE
MFG DATE 2-0 EXPDATE 2024-065 PACK SIZE 1X 3.1ML BMR/STORE/ACC
STD REQUIRED CHECKED BY issued by VERIFIED BY
RAW MATERIAL
UNIT QTY QTY Q.R NO PROD w.H QA/QC
DICLOFENAC SODIUM (B.F) (25mg/ ml) KG 3.14 5.5
0221
PG (206.61mg/ ml) 25.62 44.84 0251,0240
BENZYLALCOHOL (0.04ml/ml) 8.68
SODIUM METABISULPHITE (1.7mg/ml) GM 220.44 385.8
MANITOL (2.777mg/ml)_ 2290
GM 344 :4 602.8
Sodium Hydroxide For pHadjustment O243
Water For Injection
87.50 0229
L 217
STANDARD BATCH: 40000 AMPOULE
%AGE Over age : 0%
OUT PUT= 37000 ampoule
PH 8.0-9.0
BULK VOLUME 217.00 LITERS
T.Vol/ampoule 3.1 m
LIMIT 3.00 TO 3.10 ml
DISPENSED BY ( STORES)
APPROVED BY (QA)
VERIFIED BY ( QC)
tak RECEIVED BY (PROD)|
c 38Y22
 T

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 or ,V/DR/RM 01 RAW MATEIAL REQUISITION
SYNCHRO PHARMACEUTICALS Revisi
Effective dit: 01/01/2017 HD CAIN PLUS 1.8ML INJ
B.NO D2242 8.SIZE(L)
MFG DATE
42.6 CARTRIDGE 20000 DATE 1s0 COM
EXP DATE Jun-24 PACK SIZE 1X 1.8ML BMR/STORE/ACC
STD REQUIRED CHECKED BY issued by VERIFIED BY
RAW MATERIAL UNIT QTY QTY
Q.R NO PROD w.H QA/QC
Lignocain HCl at 105% GM 84.12 895.9 91b
0323
EPINEPHRINE (ADRINALINE) iG 4473-73 02S6 4:
Sodium Chloride GM 127.8 1498
EDTA GM 85.200 0254
TARTARIC ACID
2.130 13
SODIUM METABISULFITE GM 42.6 290 A
WATER FOR INJECTION LIT 42.6
STANDARD BATCH: 2000 CARTRIDGE
%AGE Over age: 105%|
OUT PUT= 2000 CARTRIDGE
PH 3.0-5.5
BULK VOLUME 42.60 LITERS
T.Vol/ampoule 1.8 m
LIMIT 1.80 TO 2.00 |m
DISPENSED BY (STORES) APPROVED BY (QA)|
RECEIVED BY (PROD)|
VERIFIED BY ( QC) -
D

AA YYY Y
 LOCLnen no.', PR RAW MATERIAL REQUIS: ON
P
SYNCHRO PHARMACEUTICALS Revisicn no -02 Effective cate 01/01/2017 AKLOGESIC 3CC INJ
B.NO G362 B.SIZE(L) 210.8 Ampoule 68000.0 DATE COM
MFG DATE 202-u EXPDATE 2024-07 PACK SIZE 1X 3.1ML BMR/STORE/ACC
STD REQUIRED CHECKED BY issuedby VERIFIED BY
RAW MATERIAL UNIT QTY QTY Q.R NO PROD w.H QA/QC
DICLOFENAC SODIUM (B.F) (25mg/ mi) KG 3.14 3 2 2
2g PG(206.61mg/mi) 43.55 03sT
2oBENZYLALCOHOL (0.04ml/ml) 8.43 026 2
266SODIUMMETABISULPHITE (1.7mg/ml) 374.7 0290
32 MANITOL (2.777mg/ml) 44,44 585.5 0293
Sodium Hydroxide For pH adjustment 85.00 289
Water For Injection 124 210.8
STANDARD BATCH:40000 AMPOULE
%AGE Over age : 0%
OUT PUT=37000 ampoule
PH 8.0-9.0
BULK VOLUME 210.80 LITERS
T.Vol/ampoule 3.1 m
LIMIT 3.00 TO 3.10 ml
DISPENSED BY (STORES) APPROVED BY (QA)
VERIFIED BY ( QC)
#akt RECEIVED BY ( PROD)|
.c# 39222
 04
RAW MATERIAL REQUISITION
SYNCHRO PHARMACEUTICALS RevisIon no -02 Etfee date 01/01/21 HD CAIN PLUS 1.8ML INJ
B.NO D2244 B.SIZE(L) 42.6 CARTRIDGE
MEG DATE
20000 DATE 2al COM
EXP DATE Jun-24 PACK SIZE 1X i.8iviL BMR STORE/ACC
RAW MATERIAL
STD REQUIREDD CHECKED BY issued by VERIFIED BY
UNIT QTY QTY
8ignocain HCl at 105% Q.R NO PROD w.H QA/QC
t E P I N E P H R I N E (ADRINALINE) GM 84.12 895.9q0Oh 0328
Sodium
Chloride
42
447-3413 02S6
127.8
A
2EDTA 85.200
7 TARTARIC ACID 22L 0234 A
665ODIUMMETABISULFITE 2.130
42.6
WATER FOR INJECTION 22m 240
42.6
STANDARD BATCH :2000 CARTRIDGE
96AGE Over age:105%
OUT PUT= 2000 CARTRIDGE
PH 3.0-5.S
BULK VOLUME 42.60 LITERS
T.Vol/ampoule 1.8 ml
LIMIT 1.80 TO 2.00
ml
DISPENSED BY (STORES)
APPROVED BY ( QA)
VERIFIED BY (QC)
taki RECEIVED BY (PROD)
C XI L N
 Level-04 Document no.SY/PR/RM/04/01 RAW MATERIAL REQUISITION
SYNCHRO PHARMACEUTICALS Revision no -02 Effective date 01/01/20177 HD CAIN PLUS 1.8ML INJ
B.NO D2241 B.SIZE(L) 42.6|CARTRIDGE 20000 DATE 2/L/a COM
MFG DATE 2022-06 EXP DATE 2024-06 PACK SIZE 1X 1.8ML
- BMR/STORE/ACC
STD REQUIRED CHECKED BY issued by VERIFIED BY
RAW MATERIAL UNIT QTY QTY Q.R NO PROD w.H QA/QC
4Kignocain HCl at 105% GM 84.12 895-99 1 0326
EPINEPHRINE(ADRINALINE) MG 42
447.34 Oa13
Sodium Chloride GM 12 127.8
EDTA GM 85.200
TARTARIC ACID GM 2 2.130
134
5ODIUM METABISULFITE GM 42.6
O240
WATER FOR INJECTION |LIT 42.6
STANDARD BATCH: 2000 CARTRIDGE
9%AGE Over age :105%|
OUT PUT= 2000 CARTRIDGE
PH 3.0-5.5
BULK VOLUME 42.60 LTERS
T.Vol/ampoule 1.8 ml
LIMIT 1.80 TO 2-00 2.) ml
DISPENSED BY (STORES) APPROVED BY (QA)
L
VERIFIED BY ( QC)
Aki RECEIVED BY (PROD)|
 P
7SY/PP / RAWMATFEAL REQUISIT
SYVCHRO PHARMACEUTICALS KeVisi() HO CAN PLUS 1.8fv NJ
Ettecttte01/01/2011
B.NO D2245 B.SIZE(L) 42.6 CARTRIDGE 20000 DATE 2072 COM
MEG DAE EXP DATE Jun-24 PACK SIZE 1X 1.8ML BMR/STORA/ACC
STD REQUIRED CHECKED BY issued by VERIFIED BY
RAW MATERIAL UNIT QTY QTY Q.R NO PROD w.H QA/aC
5 ignocain HCl at 105% GM 84.12 895-9q D32
t EPINEPHRINE (ADRINALINE) MG 447-3 4 1
s9Sodium Chloride
3 EDTA GM
127.8 7498
85.200
5 TARTARIC ACID (M 2.130 134
be soDiIUM METABISULFITE GM 42.6
WATER FOR INJECTION 42.6
STANDARD BATCH :2000 CARTRIDGE
%AGE Over age : 105%
OUT PUT:2000 CARTRIDGE
PH 3.0-5.5
BULK VOLUME 42.60 LITERS
T.Vol/ampoule 1.8 m
LIMIT 1.80 TO 2.0 ml
DISPENSED BY ( STORES)
APPROVED BY (QA)
VERIFIED BY ( QC) RECEIVED BY ( PROD)|
 -
04
. iEii o.Y* 4/O. RAW MATERIAL RiQUISITION
SYNCHRO PHARMACEUTICALS Revision no -02 Effective date 01/01/2017 AKLOGESIC 3CC INJ
B.NO G354 B.SIZE(L) 217 Ampoule 70000.0 DATE 3s/03 22 COM
MFG DATE EXP DATE 2024-07 PACK SIZE 1X 3.1fviL BMR/STORE/ACC
STD REQUIRED CHECKED BY issued by
-

VERIFIED BY
RAW MATERiAL UNIT QTY QTY Q.R NO PROD w.H OA/OC
DICLOFENAC SODIUM (B.F) (25mg/ mi)
**
KG 3.14 5.5
P2.1,04o
PG (206.61me/mi) 4 .84 3s1
BENZYL ALCOHOL (0.04ml/ml 8.68 0262
sODIUM METABISULPHITE (1.7mg/ml) 385.8 20
MANITOL (2.777mg/ml) $44 4- 602.8 2 3
87.50
Sodium Hydroxide For pH adjustment
Water For Injection 217
STANDARD BATCH: 40000 AMPOULE
%AGE Over age:0%
OUT PUT= 37000 ampoule
PH 8.0-9.0
BULK VOLUME 217.00LITERS
T.Vol/ampoule 3.1 ml
LIMIT 3.00 TO 3.10 ml
APPROVED BY ( QA)
DISPENSED BY (STORES)
VERIFIED BY ( QC) RECEIVED BY (PROD)
 REQUISITION SLIP
Required for: CH VoL ALJUITNENT (STNMAC G261,G-G2u)
Section: Date: 1 1 7 l
S.No Material Qty. Purpose
MpNIIoL_ 0:20
3 EDTA 0-674
7 PMN 6m 3
General Manager
Sectiop ntharge
 REQUISITION SLIP
Required for: PH_ PDJUSTG2a1-296,G363)
Date: 0617 2z
Section: JHEC
S.No Material Qty. Purpose
SoD HYDLoIDE 2009
Sectien Inchrge General Manager