Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C021432401340611

TATA 1MG HealthCare Solutions Private Limited Patient Name: Asima Biswas Date : 2024-10-14
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: DUMDUM CENTRAL Order ID : PO28624368064709
Limited) CORRECTIONAL HOME , Mahendra
Colony, Kolkata, 700028, IN
DL Number: 21:WB/HWH/BIO/R/657656,20:WB/HWH/NBO/R/657656,21B:WB/HWH/BIO/
W/657657,20B:WB/HWH/NBO/W/657657,20C:WB/HOW/1710/HR,20D:WB/HOW/1719/HW Place of supply: West Bengal
FSSAI License No: 12822008000247 Contact: 6294165355
GST: 19AAFCD7691C1ZG CIN: U24290DL2016PTC302634 Doctor name & address: Narayana health
1
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Delhi - 110070
Premise Address: Merrill Logistics Park, Ground Floor, Mouza - Sandhipur, J.L.No.-04.
Khatian No.-788, Dag No.-701-708, 710-718, 720, 723-732, 737, Jaynagar, Sankrail,
Dhulagori , District - Howrah, Howrah, West Bengal, 711302, India For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Galvus Met 50mg/500mg Tablet - 15 Cipla Ltd 323MLBQ4 05/25 4 361.17 207.02 1105.05 30049099 12 132.61 1237.66
2 Eurepa 1 Tablet - 15 Torrent 2HG2L013 07/27 4 317.0 153.43 995.15 30049099 12 119.42 1114.57
Pharmaceuticals Ltd
3 Folvite 5mg Tablet - 45 Pfizer Ltd LD1709A 07/25 2 76.1 26.63 112.12 30049099 12 13.45 125.57
4 R.B Tone Capsule - 15 Medley E41018 12/25 2 102.0 39.11 147.22 30049099 12 17.67 164.89
Pharmaceuticals
5 Green Packaging Charge - OTH 1 0.00 2.12 998549 12 0.25 2.38
 GST Taxable CGST SGST IGST TOTAL QUANTITY: 12 All disputes related to this For: TATA 1MG
% Amt order are subject to the HealthCare Solutions
GROSS AMOUNT: ₹3068.88 jurisdiction of courts at Private Limited
0 0 0 0 0 Howrah, West Bengal
SHIPPING & VAS ₹2.38
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 2361.66 141.7 141.7 0 DISCOUNT ₹426.19
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹2645.07
28 0 0 0 0
ROUND OFF: ₹-0.07 For Compliance Purpose
*All Values in (₹)
PAYABLE ₹2645.00
AMOUNT: For Support Contact:
________________
care@1mg.com Bringing care to health
Pharmacist Signature
Amount in Words: Rupees two thousand, six hundred and forty-five only
E.&.O.E.
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)

Sold By Sold To Invoice no.: C021432401340612

TATA 1MG HealthCare Solutions Private Limited Patient Name: Asima Biswas Date : 2024-10-14
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: DUMDUM CENTRAL Order ID : PO28624368064709
Limited) CORRECTIONAL HOME , Mahendra
Colony, Kolkata, 700028, IN
DL Number: 21:WB/HWH/BIO/R/657656,20:WB/HWH/NBO/R/657656,21B:WB/HWH/BIO/
W/657657,20B:WB/HWH/NBO/W/657657,20C:WB/HOW/1710/HR,20D:WB/HOW/1719/HW Place of supply: West Bengal
FSSAI License No: 12822008000247 Contact: 6294165355
GST: 19AAFCD7691C1ZG CIN: U24290DL2016PTC302634 Doctor name & address: Dr. Vidya Javali
A1, No - 13, Swapna Manor, Dinnur Main
Registered Address: Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New
Road, RT Nagar, Bengaluru, Karnataka -
Delhi - 110070
560032, India
Premise Address: Merrill Logistics Park, Ground Floor, Mouza - Sandhipur, J.L.No.-04.
Khatian No.-788, Dag No.-701-708, 710-718, 720, 723-732, 737, Jaynagar, Sankrail,
Dhulagori , District - Howrah, Howrah, West Bengal, 711302, India For Internal Purpose

SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Lefno 20 Tablet - 10 Ipca Laboratories Ltd GOV014009A 11/26 3 293.7 96.74 700.32 30049099 12 84.04 784.36
S
2 Wysolone 5 Tablet DT - 15 Pfizer Ltd KC3108 12/25 1 11.35 1.76 8.56 30049099 12 1.03 9.59
3 Folitrax 5 Tablet - 10 Ipca Laboratories Ltd AT-090624 05/27 1 99.02 11.26 83.58 30049011 5 4.18 87.76
4 Telma 40 Tablet - 15 Glenmark 18230258 04/26 2 113.57 31.73 174.47 30049099 12 20.94 195.41
Pharmaceuticals Ltd
5 HCQS 200 Tablet - 15 Ipca Laboratories Ltd GPD084012B 05/28 4 106.85 61.89 326.35 30049099 12 39.16 365.51
H
6 Rantac 300 Tablet - 30 J B Chemicals and QR-624025 10/25 1 86.29 14.70 63.92 30049099 12 7.67 71.59
Pharmaceuticals Ltd
7 Saaz Tablet - 10 Ipca Laboratories Ltd JMT-014007A 05/27 5 52.86 31.35 207.99 30049099 12 24.96 232.95
S
8 Saaz Tablet - 10 Ipca Laboratories Ltd 0JMT014007 05/27 1 52.86 6.27 41.6 30049099 12 4.99 46.59
AS
9 Green Packaging Charge - OTH 1 0.00 1.45 998549 12 0.17 1.62
 GST Taxable CGST SGST IGST TOTAL QUANTITY: 18 All disputes related to this For: TATA 1MG
% Amt order are subject to the HealthCare Solutions
GROSS AMOUNT: ₹2049.46 jurisdiction of courts at Private Limited
0 0 0 0 0 Howrah, West Bengal
SHIPPING & VAS ₹1.62
5 83.58 2.09 2.09 0 CHARGES: Computer Generated
Invoice.
12 1524.66 91.49 91.49 0 DISCOUNT ₹255.70
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹1795.38
28 0 0 0 0
ROUND OFF: ₹-0.38 For Compliance Purpose
*All Values in (₹)
PAYABLE AMOUNT: ₹1795.00
For Support Contact:
________________
Amount in Words: Rupees one thousand, seven hundred and ninety-five only care@1mg.com Bringing care to health
Pharmacist Signature
E.&.O.E.