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Tax Invoice: 1046.17 Total Invoice Amount Rs

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Original for recipient

Duplicate for transporter


Triplicate for supplier
Tax Invoice Invoice Number
C152-20-00060540

Order ID 22615908 Invoice Date 09-09-2020


Order Date 08-09-2020 POS 09-Uttar Pradesh

Sold By(Pharmacy) Bill To / Ship To (Patient)


Laxmi Chemist Aayush Aggarwal
Shop No. G-1, Yojana Sudarshanpura Industrial Area, 22-Godam, H No 112 Main Gali Aryapuri Shamli, Main Gali Aryapuri,
Plot No. C-10 Shamli - 247776, Shamli

GSTIN : 08AAHFL1873B1ZH Doctor Name : Not Applicable

DL No. DRUG/2020-21/38181,DRUG/2020-21/38182,DRUG/2020-21/38183 ,DRUG/2020-21/38184

UNIT GST
SNo ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS QTY AMOUNT
PRICE %

WOW LIFE MINOCHA 22090 ACVO0


1 08/21 399 39.9 359.1 18 1 359.1
SCIENCE INDUSTRI 090 12

LUBRIJOINT WALLACE LPT200


2 2106 01/22 408 81.6 326.4 18 1 326.4
PLUS BOTTLE PHARMA 06

NEW CELIN KOYE 30045 CEL171


3 06/22 38.36 5.75 32.61 12 1 32.61
500MG TABLET PHARMA 035 G20

BECOSULES PFIZER 30045 203016


4 11/21 41.53 6.23 35.3 12 2 70.6
CAP 20`S LTD 039 8S

UNIENZYME TORRENT 30049 BUE-


5 06/21 58.45 8.77 49.68 12 2 99.36
STRIP OF 15 PHARMA 029 20008

RX PLUS IPCA UR1902


6 3004 09/21 186 27.9 158.1 18 1 158.1
CAPSULE 15'S LABORAT 0GJ

MRP Total 1231.32


Taxable Amt IGST % IGST Amt
714.92 18 128.68 PharmEasy Savings @ 15.04% -185.15
180.87 12 21.7 Subtotal 1046.17
895.79 150.38

Notes:

Total Invoice Amount Rs. 1046.17


Note: Total savings Rs. 185.15 *Charges inclusive of GST (SAC - 9997)
Amount In Words : One thousand Forty Six Rupees And Seventeen paise.

1
Name of the Ajeet Choudhary For Laxmi Chemist
Pharmacist

PR Number 49634 Authorized Signature

Whether GST is payable on reverse charge - No


Keep the original invoice and barcode on medicines intact for returns
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