GSTIN NO:- 18BJDPD6159A1ZK Bill Of Supply PH.

NO:- +91-943516

New Poonam Medical Hall

STATE CODE: AS Haladhar BHuyan Bazar, A.T Road Nagaon, Assam DL NO:- NNG/9512-9513

Cash INV. NO:- 1283

STATE CODE:- DATE :- 31/03/2019
PH :- GSTIN :- DL NO:-

SL NO Description Of Goods MFG PKG HSN MRP Quantity + FR RATE EXP Batch No Sch % C. DIS SGST (%) SGST CGST (%) CGST Net Amount

1 TAXIM O 200 MG 3004 8.90 1 + 0 0.00 EXP 12345 0.00 0.00 0.00 0.00 0.00 0.00 9.00

NINE ONLY
SCH Amount 0.00 Total Tax Amount 0.00
SGST TAX CGST TAX
CASH Discount 0.00 Net Amount 9.00
9.00 0.00 9.00 0.00

1. (a) OUR BANK DETAILS - , (b) A/C No. - , (c) IFSC Code. -
2. We are Commited to sale everything in the same condition as received.
3. All subject to Nagaon Jurisdiction. 4. E.& O.E. FOR : - New Poonam Medical Hall