REFUND VOUCHER

OPTIVAL HEALTH SOLUTIONS PVT LTD

No. 147, Nilgunge Road, Belgharia, North 24 Parganas, West Bengal-700056
GSTIN : 19AAACO7727M1ZW
Store Name : MEDPLUS JESSORE RD
Address : No.B-15, 202, Jessor Road-700 089
State : WEST BENGAL Customer Name : vasanth kadali
Refund Receipt No : OWBRI1900046802 Customer Phone No : 7369951935
Refund Date : 12.02.2020 Customer ID : 49073784
Reference Receipt Id : OWBMM1900512051 Address : null, null, null, null
Reference Receipt Date : 06.02.2020
Dl No : DL- 8238-S/DL- 8248-SB
Sr.No Product Name/Form HSN Quantity Rate Order Value Advance amount CGST SGST

Rate Rate
Amt Amt
(in %) (in %)

1 TADACT 10MG TAB 3004 20 11.54 230.76 206.04 6 12.36 6 12.36

Total : 206.04 12.36 12.36
Total Refund value (in figure) 230.76
Total Refund value (in words) Two Hundred Thirty Rupees And Seventy Six Paisa

Note: Reverse Tax Mechanism on products are not applicable

CIN : U85110TG2005PTC046821
OPTIVAL HEALTH SOLUTIONS PVT LTD
H. No: 11-6-56, Survey No: 257 & 258/1, Opp:IDPL Railway Siding Road,(Moosapet),Kukatpally Hyderabad Hyderabad TG 500037 IN