16912100159004654ASO1

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Tax Invoice

Netmeds CS Number: 72007-12345 / Email: cs@netmeds.com

RELIANCE RETAIL LIMITED Original for Recipient

SY NO.133/137,UNIT NO.B-1,LG LEVEL, Duplicate for Transporter


Triplicate for Supplier
INDOSPACE BOMMASANDRA LOGISTICS PARK, GSTIN : 29AABCR1718E1ZL
RAJAPURA VILLAGE,JIGANI HOBLI,ANEKAL TALUK, PAN : AABCR1718E
BANGALORE - 562106
Drug Licence No : KA-B62-209707-20 & KA-B62-209708-21
KA-B62-209710-21B & KA-B62-209709-20B
STATE CODE: 29, KA
FSSAI : 11221302000902

Invoice No: CSSF40230197803 Order No : 16912100159004654ASO1


Invoice Date : 06-08-2023 Delivery Man : Ecom_Express (Prepaid)

Doctor Name : Dr ATAL BIHARI GAUTAM Patient Name : Mr/Mrs SESPA GOWDA

Billing Address : Chethan gowda Shipping Address : Chethan gowda


Raktheshvari Padavu, Parenky Village, Madanthyar Post, ,Belthangady Raktheshvari Padavu, Parenky Village, Madanthyar Post,,
Taluk. Dakshina Kannada, Karnataka - 574224, India. Mobile: 8971597024
Dakshina Kannada, Karnataka - 574224, India. Mobile: 8971597024 Landmark : Belthangady Taluk.
Place of supply (State Name) : Karnataka - 29 Whether tax is payable on reverse charge basis : N
State Code: 29, KA

Disc Taxable CGST SGST/UGST Total Amt


S.No. Mfr Description Of Goods HSN/SAC MRP Batch No Expiry Qty Rate Total
Amt Amt Rate Amt Rate Amt (incl. tax)

MPA23022
1 Aristo Gabamax Gold Capsule 10'S 30049099 142.00 06/24 2 126.79 253.58 38.04 215.54 6 12.93 6 12.93 241.40
9
Ecosprin AV 75mg Capsule
2 Usv Pri 30049099 60.65 TF23D137 09/24 3 54.15 162.45 16.23 146.22 6 8.77 6 8.77 163.76
15'S
Arkamin 100mcg Tablet
3 Torrent 30049076 72.65 8NY2J020 10/24 1 64.87 64.87 9.73 55.14 6 3.31 6 3.31 61.76
30'S
SHIPPING/HANDLING &COD
4 - 996819 - - - - 24.58 - - - 9 2.21 9 2.21 29.00
CHARGES

0% 2.5% 6% 9% 14% Total


CGST - - 25.01 2.21 - 27.22
SGST - - 25.01 2.21 - 27.22

Total Item : 3 Total Qty : 6 Sub Total : 505.48


Discount Amount : -64.00
Total Taxable Amount : 441.48
Rs. In Words: Four Hundred Ninety Six Rupees only Total Tax Amount : 54.44
Round Off : 0.08

Paid by : juspay / visa-2023-08-05 10:04:14.000 Grand Total : 496.00

*** Your Total Savings: Rs.64.00 ***

R.P. Signature
Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.

Registered Office- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Tala, Mumbai-400002 Phone-+91-22 67673800
CIN -U01100MH1999PLC120563 PAN- AABCR1718E Website- www.relianceretail.com Toll-18001027382 email-customerservice@ril.com
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