r.TH DAS BALBHA}T{A I}AS EROS.

Patient Name : KANCHAN SINGH

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i rr..i :',ili:l.Lll ii.,\'f ir,;\CR,\-2ti-'i,i)l .S lA'l-L li 09) Patient Address : ACRA
Dl Name : DR. A l( Kil,,\NNA
Dr Reg No.
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a r ; i.ri,.ij1,"80200000452 uP80210000452 vatid 25/08/2014 TAX INVOICE Bill Date

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Whether tax is pa!able under rqersc charge=N

isr,a. PRoDUcr NAME PACK HSN BATCH I rXp. MRP RATE SGST CGST AMOUNT

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llM PENFILL <Net>
l\,i|XTARD 50 CRTD 3004 JS68H24 245.00 2.50
MIXTARD 50/401U <Net> ,tuml 3004 B-90154 140.00 2.50

GST 1433.32"2.5+2 5o/o=35.84SGST+35.B4CGST, SUB TOTAL

\ 1433.33
Terms & Conditions
] SGST 2.5 % 35.84
CGST 2.5 % 35.84
All dispute subiect to Agra Jurisdiction only.
N4edicrnesiVaccines once sold will not be taken back or exchanged,

-:eiiiiic,:j th:ii the f;ariiculars given above are true and correct. For JAGANlilATll DAS BALBHADRA DA BROS

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lis. Cne Thousand Five Hundred Five Onl GRAND TOTAL 15O5.OO
II O SFi]'iOR ,12C,i26,AWAS
VII(AS COLONY,SIKANDRA,AGRA

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