ALKEM LABORATORIES LIMITED Invoice No.
: 2263000289
Division : ACE-ALTIS Div No. : 7263321826 Date: 05.04.2020
BANGALORE
Order Ref No./ Doc 03.04.2020
SY. NO.75, OLD NO.51, MADANAYAKANAHALLI, No.9822-1803050330/ TAX INVOICE
DASANPURA HOBLI, BENGALURU 2261000439 ORIGINAL FOR
BANGALORE Trans Distance : 3 RECIPIENT
BANGALORE - 562123
Tele : 08029511322 & 08029511422 Lr. No LOCAL Date 06.04.2020 Cases:
Fax :
Email: EWAY BILL : 131214670463 DATE : 05.04.2020 Weight:313.409 KG
GSTN NO : 29AABCA9521E1ZT Invoice Type : Invoice
CIN NO L00305MH1973PLC174201
PAN NO :AABCA9521E
Outbound No & Date : 2262000478-03.04.2020
DL NO :20B:KA-BRC-181475:21B:KA-BRC-181476 Payer: RAJSONS PHARMA PRIVATE LIMITED
269/2 1st to 4TH FLOOR KASTURBA NAGARMYSORE ROAD
BANGALORE560026
FL NO : 11219302000654
State name :Karnataka State code :29 GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Mode of Transport : DL :KA-B21-20B-145386, 21B-145388 State code :29
OWN VEHICLE
Transport details:
FL NO : Place of supply :Karnataka
GSTN NO : 29AABCA9521E1ZT Ship_to :RAJSONS PHARMA PRIVATE LIMITED,269/2 1st to 4TH FLOOR,KASTURBA
NAGAR , MYSORE ROAD, , BANGALORE,KA-B21-20B-145386, 21B-145388
Document Through:
, Advance document no GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Cheque Num : Cheque Date DL :KA-B21-20B-145386, 21B-145388 State code 29
FL NO : Place of supply :Karnataka
Sr Product HSN No Batch No Exp MRP PTR PTS Total Sale Discou Replace Cash Taxable
Description Date Qty Qty nt Qty Qty Disc value
TRINERVE SOFT GEL
CAPSULES (10S) 30045034 TVSG-20002 06/2021
1 101.07 90.96 20 20 0 0 0.00 1,819.20
INDCHEMIE HEALTH
SP. 141.50
YEES-D CAPSULES
(10'S) ALKEM HEALTH 30049039 19442917 10/2021
2 63.57 57.21 100 100 0 0 0.00 5,721.00
SCIENCES UNIT-2
89.00
XONE 250 MG
INJECTION [ VIALS ] 30042019 19182695 09/2022
3 19.31 17.38 350 203 147 0 0.00 3,528.14
ALKEM
HEALTHSCIENCE 27.03
XONE 500 MG
INJECTION [ VIALS ] 30042019 19182600 09/2022
4 35.28 31.75 100 71 29 0 0.00 2,254.25
ALKEM
HEALTHSCIENCE 49.39
XONE 1GM INJECTION
[ VIALS ] ALKEM 30042019 20180064 09/2022
5 42.19 37.97 4,000 2,000 2,000 0 0.00 75,940.00
HEALTHSCIENCE
59.07
XONE SB 1GM
INJECTION (VIALS) 30042019 20460169 01/2022
6 107.14 96.43 250 95 155 0 0.00 9,160.85
ALKEM HEALTH
SCIENCES UNIT-3 150.00
XONE-XP 1.125GM
(VIAL) ALKEM HEALTH 30042019 20460186 01/2022
7 121.43 109.29 100 50 50 0 0.00 5,464.50
SCIENCES UNIT-3
170.00
PIPZO 4.5GM
INJECTION (VIAL) 30041090 PTC9192 10/2021
8 192.06 94.00 576 576 0 0 0.00 54,144.00
PROSPERITY 6
PHARMACEUTICS 268.88
PIPZO 2.25GM
INJECTION (VIAL) 30041090 PTB20001PT 12/2021
9 132.56 119.31 18 18 0 0 0.00 2,147.58
PROSPERITY 6
PHARMACEUTICS 185.59
PIPZO 2.25GM
INJECTION (VIAL) 30041090 PTB20003PT 12/2021
10 132.56 119.31 132 106 26 0 0.00 12,646.86
PROSPERITY 6
PHARMACEUTICS 185.59
HEMFER SYRUP
(225ML) CACHET 30045039 HFS/9106 02/2021
11 87.86 79.07 125 100 25 0 0.00 7,907.00
PHARMACEUTICAL
123.00
HEMFER-XT TABLETS
(10'S) Cachet Baddi 30045039 HXT19109C 10/2021
12 87.50 78.75 120 108 12 0 0.00 8,505.00
(Purchase)
Pages1 of 3
ALKEM LABORATORIES LIMITED Invoice No. : 2263000289
Division : ACE-ALTIS Div No. : 7263321826 Date: 05.04.2020
BANGALORE
Order Ref No./ Doc 03.04.2020
SY. NO.75, OLD NO.51, MADANAYAKANAHALLI, No.9822-1803050330/ TAX INVOICE
DASANPURA HOBLI, BENGALURU 2261000439 ORIGINAL FOR
BANGALORE Trans Distance : 3 RECIPIENT
BANGALORE - 562123
Tele : 08029511322 & 08029511422 Lr. No LOCAL Date 06.04.2020 Cases:
Fax :
Email: EWAY BILL : 131214670463 DATE : 05.04.2020 Weight:313.409 KG
GSTN NO : 29AABCA9521E1ZT Invoice Type : Invoice
CIN NO L00305MH1973PLC174201
PAN NO :AABCA9521E
Outbound No & Date : 2262000478-03.04.2020
DL NO :20B:KA-BRC-181475:21B:KA-BRC-181476 Payer: RAJSONS PHARMA PRIVATE LIMITED
269/2 1st to 4TH FLOOR KASTURBA NAGARMYSORE ROAD
BANGALORE560026
FL NO : 11219302000654
State name :Karnataka State code :29 GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Mode of Transport : DL :KA-B21-20B-145386, 21B-145388 State code :29
OWN VEHICLE
Transport details:
FL NO : Place of supply :Karnataka
GSTN NO : 29AABCA9521E1ZT Ship_to :RAJSONS PHARMA PRIVATE LIMITED,269/2 1st to 4TH FLOOR,KASTURBA
NAGAR , MYSORE ROAD, , BANGALORE,KA-B21-20B-145386, 21B-145388
Document Through:
, Advance document no GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Cheque Num : Cheque Date DL :KA-B21-20B-145386, 21B-145388 State code 29
FL NO : Place of supply :Karnataka
Sr Product HSN No Batch No Exp MRP PTR PTS Total Sale Discou Replace Cash Taxable
Description Date Qty Qty nt Qty Qty Disc value
122.50
SATROGYL-O TABLETS
(10S) ALKEM HEALTH 30049029 19442938 10/2022
13 105.36 94.82 30 30 0 0 0.00 2,844.60
SCIENCES UNIT-2
147.50
TRINERVE NT TABLETS
(10'S) ALKEM HEALTH 30049099 19441863 07/2021
14 113.93 102.54 30 30 0 0 0.00 3,076.20
SCIENCES UNIT-2
159.50
LINOKEM 600MG
TABLETS (10'S) ALKEM 30042099 20440026 12/2021
15 160.69 144.62 20 18 2 0 0.00 2,603.16
HEALTH SCIENCES
UNIT-2 224.96
Total 197,762.
34
Add CGST 6.00 % On Taxable Value 197,762.34 11,865.74
Add SGST 6.00 % On Taxable Value 197,762.34 11,865.74
GSTN Reg. Office Net Value 197,762.34
, Charges/Taxes 23,731.48
,, Adjustment Amt 13,787.27-
,State code : : GSTN Code : Discount 0.00
Payable Amount 207,706.55
Total Qty - 5,971 Due Date - 16.04.2020
Invoice Number Adjustment Number Adjustment Type Adjustment Value
2263000289 1265023335 DC 770.44-
2263000289 1265023916 DC 886.16-
2263000289 1265023918 DC 68.79-
2263000289 1265023919 DC 44.04-
2263000289 1265023920 DC 10,897.19-
2263000289 1265023924 DC 67.68-
2263000289 1265023928 DC 412.46-
2263000289 1265023931 DC 525.06-
Pages2 of 3
ALKEM LABORATORIES LIMITED Invoice No. : 2263000289
Division : ACE-ALTIS Div No. : 7263321826 Date: 05.04.2020
BANGALORE
Order Ref No./ Doc 03.04.2020
SY. NO.75, OLD NO.51, MADANAYAKANAHALLI, No.9822-1803050330/ TAX INVOICE
DASANPURA HOBLI, BENGALURU 2261000439 ORIGINAL FOR
BANGALORE Trans Distance : 3 RECIPIENT
BANGALORE - 562123
Tele : 08029511322 & 08029511422 Lr. No LOCAL Date 06.04.2020 Cases:
Fax :
Email: EWAY BILL : 131214670463 DATE : 05.04.2020 Weight:313.409 KG
GSTN NO : 29AABCA9521E1ZT Invoice Type : Invoice
CIN NO L00305MH1973PLC174201
PAN NO :AABCA9521E
Outbound No & Date : 2262000478-03.04.2020
DL NO :20B:KA-BRC-181475:21B:KA-BRC-181476 Payer: RAJSONS PHARMA PRIVATE LIMITED
269/2 1st to 4TH FLOOR KASTURBA NAGARMYSORE ROAD
BANGALORE560026
FL NO : 11219302000654
State name :Karnataka State code :29 GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Mode of Transport : DL :KA-B21-20B-145386, 21B-145388 State code :29
OWN VEHICLE
Transport details:
FL NO : Place of supply :Karnataka
GSTN NO : 29AABCA9521E1ZT Ship_to :RAJSONS PHARMA PRIVATE LIMITED,269/2 1st to 4TH FLOOR,KASTURBA
NAGAR , MYSORE ROAD, , BANGALORE,KA-B21-20B-145386, 21B-145388
Document Through:
, Advance document no GSTN :29AAFCR2119H1ZE PAN NO :AAFCR2119H
Cheque Num : Cheque Date DL :KA-B21-20B-145386, 21B-145388 State code 29
FL NO : Place of supply :Karnataka
Sr Product HSN No Batch No Exp MRP PTR PTS Total Sale Discou Replace Cash Taxable
Description Date Qty Qty nt Qty Qty Disc value
2263000289 1265023934 DC 115.45-
(Payable Amount in words) : TWO LAKH SEVEN THOUSAND SEVEN HUNDRED SIX Rupees FIFTY FIVE Paise Only
Remarks :-
Note :- We are providing additional mode of payment through electronic mode :-
1) UPI
2) QR CODE
3) Debit Card powered by Rupay
Avail all the above payment mode by scanning the QR Code from mobile.
All Payment Must Be Made in The Name Of Alkem Laboratories Limited.
WARRANTY : WE ALKEM LABORATORIES LIMITED To Bank Manager In SUBJECT TO MUMBAI JURISDICTION option
Alkem House, Mumbai do hereby give the warranty that the All the charges are to be borne the party.If the (1) Goods once sold will Not be taken back.
undernoted goods sold by us do not contravene in any way Bill is notpaid on due date please collect interest (2) Goods sold on an understanding that buyer is holding all
the provisions of Drug Act, 1940. @16% per annum and the same may be requisite valid Drug other Licenses.
remitted with the value of this invoice without fail. (3) No claim for shortage damage breakage will be
I / WE hereby certify that My / Our registration certificate entertained, once the goods leave our Godown.
under the G.S.T.Act 2017 is in force on the date on which Please send the proceeds by demand draft only (4) The Company's staffs are not allowed to take advance or
the sales of the goods specified in this Bill / Cash by quoting the invoice number. If the bill is not have monetary / stocks transactions either in cash or in kind.
Memorandum is made by me/us in the regular course of paid before below mentioned date return the Any claims in this regard will not be entertained.
my/our business. documents to us by registered post. ------------------------------------------------------------------
For ALKEM LABORATORIES LIMITED
(AUTHORISED SIGNATORY)
Page 3 of 3 E.& O.E.
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