Tax Invoice Invoice Number: C046-20-00009914

Original for Recipient

Keep the original invoice and barcode on medicines intact for returns

Sold By Bill To / Ship To (Patient)

Be Healthy Pharmacy Udyog Vihar Order Id: 17586699
Muskan
1st Floor, Plot Number - 17 18 19 20, Udyog Vihar Order Date: 2020-03-27 HOUSE NO 176, Kumhar wali gali,
Phase -4, Gurgaon - 122001
SULTANUR NEW DELHI-110030, ,
Invoice Date: 2020-04-03 Delhi, Delhi, 110030
DL Number 4392-OB(2023-10-11), 4392-B(2023-10-11),
Doctor Name Dr. Harshavardha

GSTIN 06AATFB6476A1ZC POS : 07-Delhi

S No Description of Goods MFR/MKT HSN Batch No Exp MRP Discount Unit Price GST % Qty Amount

1 TOVAXO T EYE DROPS AJA 30049099 AD0129I 08/21 317.50 63.50 254.00 12.00 2 635

BETAFREE EYE DROPS

2 MIC 30044010 BTFA022 09/21 418.00 83.60 334.40 12.00 2 836
5ML

Taxable Value IGST % IGST Amt.

Notes:
1050.71 12.0 126.09
8.47 18.0 1.53
Total 1059.18 0.0 127.62

MRP Total 1,471

For Be Healthy Pharmacy Udyog PharmEasy Savings @ 20.0% -294.2
Name of the Vihar Subtotal 1176.8
Pharmacist Dheeraj, Kishor , Raj
Delivery Charges* 10.0
PR Number Rounding Off 0.2
33040, 27019,

Pharmacist Signature

(Rounded Off)
Note: Total savings Rs. 294.00 Total Invoice Amount Rs. 1,187

Amount In Words : One thousand One Hundred Eighty Seven Rupees only.
*Charges inclusive of GST (HSN - 9997)
Customer Acknowledgement: I,Muskan hereby recognise and accept the delivery of my order in full as prescribed by my doctor. I
acknowledge that the ordered medicines are for my own consumption and will not be used to sell to any third party until specified for.
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Whether reverse charge is applicable - No

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