Delivery Summary Order Date : 11-07-2020

DELIVERY ADDRESS

Dipak Kamble
A302, Padman Nagar, Agashi, Virar west., Near Bankar Hotel, Virar - 401301, Virar

S. Total Total Invoice

Invoice No. Patient Name Doctor Name
No Med Qty Amt

1 C026-20-00818558 Dipak Kamble Not Applicable 1 1 239.2

2 C026-20-00818559 Dipak Kamble Dr. Sheetal 1 2 302.76

3 C026-20-00818560 Dipak Kamble Dr. Girija Pallakki 1 1 323

Total Invoice Amount Rs. 864.96

Total Savings On Order Rs. 170.24

For Support : Visit NEED HELP section in Pharmeasy App

 Original for Recipient
Tax Invoice Invoice Number
C026-20-00818558

Order ID 20717925 Invoice Date 2020-07-11

Order Date 11-07-2020 POS 27-Maharashtra

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

Jadhav Chemist Dipak Kamble
B-15, Shree Krishna Woollen Mill Pvt. Ltd, Sonapur Lane, LBS Marg, A302, Padman Nagar, Agashi, Virar west., Near Bankar
Bhandup West, Mumbai 400078 Hotel, Virar - 401301, Virar

GSTIN : 27AANFJ4669H1ZT Doctor Name : Not Applicable

DL No. MH-MZ4-293131,MH-MZ4-293132,MH-MZ4-293133,MH-MZ4-293134

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

SELSUN ABBOTT 30051 VLE000

1 06/23 299 59.8 239.2 12 1 239.2
SHAMPOO HEALTHC 090 5

MRP Total 299

Tax% SGST % SGST CGST % CGST Amt.
12 6 12.81 6 12.81 PharmEasy Savings @ 20% -59.8
18 9 0 9 0 Subtotal 239.2
Total 12.81 12.81

Notes:

Total Invoice Amount Rs. 239.2

Note: Total savings Rs. 59.8 *Charges inclusive of GST (HSN - 1995)
Amount In Words : Two Hundred Thirty Nine Rupees And Twenty paise.
Name of the Arpita For Jadhav Chemist
Pharmacist

PR Number N/012837 Authorized Signature

Whether GST is payable on reverse charge - No

Keep the original invoice and barcode on medicines intact for returns
Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.For further details please
visit https://pharmeasy.in/terms-and-conditions.

1
 Original for Recipient
Tax Invoice Invoice Number
C026-20-00818559

Order ID 20717925 Invoice Date 2020-07-11

Order Date 11-07-2020 POS 27-Maharashtra

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

Jadhav Chemist Dipak Kamble
B-15, Shree Krishna Woollen Mill Pvt. Ltd, Sonapur Lane, LBS Marg, A302, Padman Nagar, Agashi, Virar west., Near Bankar
Bhandup West, Mumbai 400078 Hotel, Virar - 401301, Virar

GSTIN : 27AANFJ4669H1ZT Doctor Name : Dr. Sheetal Jagtap

DL No. MH-MZ4-293131,MH-MZ4-293132,MH-MZ4-293133,MH-MZ4-293134

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

GLUCONORM G AJ1907
1 LUPIN 3004 06/21 178.1 26.72 151.38 12 2 302.76
3MG TABLET 157

MRP Total 356.2

Tax% SGST % SGST CGST % CGST Amt.
12 6 16.22 6 16.22 PharmEasy Savings @ 15% -53.44
Total 16.22 16.22 Subtotal 302.76

Notes:

Total Invoice Amount Rs. 302.76

Note: Total savings Rs. 53.44 *Charges inclusive of GST (HSN - 1995)
Amount In Words : Three Hundred Two Rupees And Seventy Six paise.
Name of the Arpita For Jadhav Chemist
Pharmacist

PR Number N/012837 Authorized Signature

Whether GST is payable on reverse charge - No

Keep the original invoice and barcode on medicines intact for returns
Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.For further details please
visit https://pharmeasy.in/terms-and-conditions.

2
 Original for Recipient
Tax Invoice Invoice Number
C026-20-00818560

Order ID 20717925 Invoice Date 2020-07-11

Order Date 11-07-2020 POS 27-Maharashtra

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

Jadhav Chemist Dipak Kamble
B-15, Shree Krishna Woollen Mill Pvt. Ltd, Sonapur Lane, LBS Marg, A302, Padman Nagar, Agashi, Virar west., Near Bankar
Bhandup West, Mumbai 400078 Hotel, Virar - 401301, Virar

GSTIN : 27AANFJ4669H1ZT Doctor Name : Dr. Girija Pallakki

DL No. MH-MZ4-293131,MH-MZ4-293132,MH-MZ4-293133,MH-MZ4-293134

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

JANUMET MSD 30049 JMA200

1 04/22 380 57 323 12 1 323
50/500MG PHARMA 099 51

MRP Total 380

Tax% SGST % SGST CGST % CGST Amt.
12 6 17.3 6 17.3 PharmEasy Savings @ 15% -57
Total 17.3 17.3 Subtotal 323

Notes:

Total Invoice Amount Rs. 323

Note: Total savings Rs. 57 *Charges inclusive of GST (HSN - 1995)
Amount In Words : Three Hundred Twenty Three Rupees And zero paise.
Name of the Arpita For Jadhav Chemist
Pharmacist

PR Number N/012837 Authorized Signature

Whether GST is payable on reverse charge - No

Keep the original invoice and barcode on medicines intact for returns
Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.For further details please
visit https://pharmeasy.in/terms-and-conditions.