Original for recipient

Duplicate for transporter

Triplicate for supplier
Tax Invoice Invoice Number
C061-20-00055268

Order ID 20940723 Invoice Date 19-07-2020

Order Date 18-07-2020 POS 09-Uttar Pradesh

Sold By(Pharmacy) Bill To / Ship To (Patient)

Bhawani Medicose Raminder Kaur
Flat No.4, Heera Bagh, Near SMS Hospital, Ram Singh Road, JaipurH.No R13, Jawahar Quarters, Begum Pull (Near Shiv
Mandir), Meerut - 250001, Meerut

GSTIN : 08AAKFB0859J1Z7 Doctor Name : Dr. b anand reddy

DL No. JPR/2016/N4985,JPR/2016/N4986,JPR/2016/N4987,JPR/2016/N4988

UNIT GST
SNo ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS QTY AMOUNT
PRICE %

VENUSIA MAX DR. 33049 ZD9015

1 08/21 546.5 72.01 491.85 18 1 474.49
INTENSIVE REDDY'S 930

PHOTOBAN 30 MICRO PHAV0

2 3004 06/21 372 84.91 297.6 12 1 287.09
AQUAGEL LABS 54

MOMESONE INTAS 30049

3 Z003 01/22 144 32.87 115.2 12 1 111.13
CREAM 25GM PHARMA 099

GLOMELA INTAS 30043

4 L921 05/21 227 40.86 192.95 12 1 186.14
CREAM 20GM PHARMA 200

MRP Total 1289.5

Taxable Amt IGST % IGST Amt
402.11 18 72.38 PharmEasy Savings @ 14.88% -191.9
521.75 12 62.61 Subtotal 1097.6
923.86 134.99 Coupon Savings -38.75

Notes:

Total Invoice Amount Rs. 1058.85

Note: Total savings Rs. 230.65 *Charges inclusive of GST (SAC - 9997)
Amount In Words : One thousand Fifty Eight Rupees And Eighty Five paise.
Name of the Bharat Bhushan Sharma For Bhawani Medicose
Pharmacist

PR Number 39247 Authorized Signature

Whether GST is payable on reverse charge - No

Keep the original invoice and barcode on medicines intact for returns
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