HEALTH LIFE PHARMA

#88, 24TH MAIN, 6THA CROSS BOB COLONY, JP

GST INVOICE
NAGAR 7TH PHASEBANGALORE 560078. -

Mb: 9886721156/9342535510
GSTIN: 29AAMFH328OM1ZS DL.No: KA-B32-20-182393,KA-B32-21-182394
E-mail
Patient: SRI RAKSHIT
ADD:
Bill No: S-5069
Doctor: Time: 12:09:07
Date 19-03-21
S.No Item Name Hsn Code Qty Mfg. Batch Exp MRP GST% Amount
1 GERIJOINT CAPS 21069099 10 ALCHE FKO771001 11/22 451.00 18 451.00
MUPICIP OINT 5GM CIL 19B65 05/26 111.92 12 111.92
STERIPAD 15CMX1OCM ST 0155 04/22 31.00 12 62.00
JMS 1/2INCH TAPE JMS 123 12/35 33.33 12 33.33

TAXI TAXABLE CGST TAX AMISGSTTAX AMI| Total Qty: 14

0.00 0% 0 0% Sub Total 658.25
:
NOTE 0%
Credit / Debit
Cards/
5% 0.00 2.5%| 0 2.5% o Total Items: 4 Disc: 0.00
1.All Major
Digital Payments accepted.
12% 180.05 6% 10.81 6% 10.81 Tax Amt: 83.54
Sold Cannot 18 % 343.98 9% 30.9 9% 30.96
2.E & O.E
Goods Once
Exchanged. 28% 0.00 14 % 14% 0 Signature Total: 608.00
Back Or
Be Taken
Jurisdiction
Registered Pharmacist
Bangalore
3.Subject to
 Invoice
3/19/2021
SIA ORTHOPAEDIc SPECIALITY CLINIC
#88, 24 main road, 6th Across, Bank Baroda
Colony, Jp Nagar 7th Phase 560078
Phone: 9663324866

SAI RAKSHITH Contact:

Patient Name: 9886500787
Date: 19/03/2021

Bill No.: SM/2020-2021/1000039

S. No. Items
Price
Consultation Ortho T400

2 Small Dressing 100

Total Amount: 500

Receipt No.: A1040

S. No. Amount
Description
T500
Payment received via Debit Card
Total Payment: 500