TAX INVOICE

BELGAUM @ TILAKWADI
SH NO.5 KESHAV KRUPA PALACE,CTS NO.16KHANAPUR ROAD, TILAKWADI,TILAKWADI
Ph No. : 08314210815 / 08314210812

DL No. : 20KA-BG1-175083
GSTIN : 29AAACW7565P1ZD
State : 29 ( KARNATAKA )

Patient Name: VINAYAK Invoice No. : 20184S50971

Ph : 7892034645 Dated : 2020-08-03 (11:55:11)
Address: BGM Transport :
Dr. Name : . DL No. : Sman Code : User : SALES
GSTIN : State : 29 ( KARNATAKA ) Dman Code :

Description of Goods Ls. Batch No. Sale Disc Taxable

Qty Mrp GST% GST Amt Amount
HSN / SAC Code Qty Exp Dt. Rate % value
OKACET 10TAB C190962
2 0 16.13 18.07 10 29.03 12% 3.48 32.51
30049031 05/2022
LUTIVIT-NF 10CAP LUTS058
1 0 167.85 188.00 10 151.07 12% 18.12 169.19
30045020 07/2021
CANDID POW 100GM 34191805
1 0 111.61 125.00 0 111.61 12% 13.38 124.99
30049029 11/2023

REMARK : GROSS TOTAL : 349.14

Amt in Words : THREE HUNDRED TWENTY SIX RUPEES and SIXTY NINE PAISA only DISCOUNT : 22.41
DISCOUNT Rs. :
GROSS SCH DISC SGST CGST
TAX% TAXABLE SGST% CGST% CGST AMT : 17.49
AMT AMT AMT AMT AMT

0% 0.00 0.00 0.00 0.00 0% 0.00 0% 0.00 SGST AMT : 17.49

5% 0.00 0.00 0.00 0.00 2.5% 0.00 2.5% 0.00 IGST AMT : 0.00
12.0% 0.00 0.00 0.00 291.71 6.0% 17.49 6.0% 17.49 TOTAL TAX AMT : 34.98
18.0% 0.00 0.00 0.00 0.00 9.0% 0.00 9.0% 0.00 PC/BC CHARGE :
28.0% 0.00 0.00 0.00 0.00 14.0% 0.00 14.0% 0.00 ROUND OFF :
INV TOTAL : 326.69

Terms & Conditions Receivers Signature :

For BELGAUM @ TILAKWADI

Authorized Signature
(Common seal)