| Date: | LR No.: | Source: | Destination: |
| Vehicle No: | Weight in KG: |
| Consignee Party Name: | Consignee Address: |
| Consignee GST No: | Consignee Mobile No: |
| Consignor Party Name: | Consignor Address: |
| Consignor GST no: | Consignor Mobile: |
| Eway Bill No: | Consignment Status: |
| Description of goods: | |
