JACAIT{N,{TH DAS tsALBHADRA I}AS BROS.

Patient Name : KANCHAN SINGH

1t5i-A.CIVIL LNTS.IJEI IiI G,.\TE.AGR.4,-282002 (STATE # 09) Patient Address : AGI{A
DrName: DR. AKKHANNA
Dr Reg No.
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Pl i.rue : 0562-2527 I 8li,:i527 197,97600380 I 5
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GSTIN : 09BGDPG5944F1 ZE lnvoice No. : R192000281 CASH

D. L. No.UP80200000452, UP8021 0000452 Valid
TAX INVOICE Bill Date : 0610912019
r^^n I i^^A^.. ll^ Whether tu is payable under reverse charge=N

CN PRODUCT NAME PACK HSN BATCH EXP. QTY MRP RATE SGST CGST AMOUNT

8'S|ORAGI =====2
t. MIXTARD 50/401U <Net> 10ml 3004 B-e01s4 sl2t 2 165.00 140.00 2.50 2.50 280.0C
2 MIXTARD 50 HM PENFILL <Net> :RTD 3004 JS68H24 6/2L 4 290.00 245.00 2.sol 2.s0 980.0c

GST 1 200"2.5+2.5%=30SGST+3oCGST, SUB TOTAL 1200.00

Terms & Conditions

-----------l SGST 2.5 %
CGST 2.5 %
30.00
30.00
All dispute subject to Agra Jurisdiction only.
i
Medicines/Vaccines once sold will not be taken back or exchanged. I

Cerlified that the padculars given above are true and correct. For JAGANNATH DAS BALBHADM DAS BROS. .i

Remark:

Rs. One Thousand Two Hundred Sixtv Onlv ^,,,.*NMrl GRAND TOT+!- i2CC.OO
H.C.:S=CTOR 12C,126,AWAS VIKAS COLONY,SIKAIInR'1,,r.GiiA

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