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:$:{c. .Fh" Patient Name : CHAN SINGH

Patient Address : SURAJ BIHAR, SII(ANDRA AGRA
. ,i-,: jli|, DrName:DR. A.K. KHANNA
- .ri Dr Reg No.
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Gt'I llti : 0$AniUl"'G1 :33ClZ0

. .' ",irr:,i. -
;,,,,r'lril,:lli fi,l"l* 2rj-s-!il GST INVOICE Bill Date : 22-04-2019
Whelher tax is payable under reverse charge=N
t::$(-,d Lifence No.: 12717001
3i'I. ?RCDLICT }JAI,IE i PACK BATCH EXP. QTY MRP RATE SGSI ]GST AMOUNT

i":rI-ORIGf =====)
i. i\nHTA*p 5C HM CRTD <Net> CRTD 3004 5 265.00 225.00 2.50 2.50 1.1.25
\Hs66P58
2. itai:ir,4&-t1 5a 4atu vtAL <Net> 10ML ,3004 1 155.00 130.00 2.50 2.50
r. l,/itXTAnD 5A 40ru WAL <Net> 10ML 3004 B-gO7s4 2 1ss.00 130.00 2.50 2.50 264
"8-94:j30

4 FlovoiiNE 31G (NEEDLE) <Net> pcs i9018 I rsrrsx

.. TOTAL
'' ..: 'ttji? aj4*2 5+2 5%=36.08SG5T+36 O8CGST,107.14"6+6%=6.43SGST+6.43CGST, GET SUB 155O.OO

Trr,,,ur& Condi'liOnS
SGST 42.51
CGST 42.51
/rii ilispirles subject to AGRA Jurisdication only,
ifedicine/Vaccine once sold will not be taken back or exchanged.
FoT JAGANNATH DAS BALBHADRA
Ccr-iified thal thc parliculars given above are true and correct
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nEl I Idt tr
.

Rs One Thousand Six Hundred

GRAND TOTAL 1635.00

+*,ri