Invoice no.

: V202N00035
Tax Invoice/Bill of Supply/Cash Memo
Date : 2022-01-17
(Original for Recipient)
Order ID :
PO01522510908586

Sold By Patient Name: Anupama satya

Address: 5/1125 viram khand lucknow, ,
Zee Laboratories Ltd Lucknow, 226010, India,
DL Number: na
Place of supply: Uttar Pradesh
FSSAI License No: 10017062000387 Contact: 8874028263
GST: 06AAACZ1397A1ZJ
CIN: na Doctor name & address:
Address: Sham Nagar, Old G.T. Road, karnal, haryana, 132001,
India

SR. PRODUCT NAME Mfr. Name BATCH EXP. QTY UOM Pack MRP DISC TAXABLE HSN GST GST TOTAL
NO. DATE (Unit) Size AMT. AMT. RATE AMT. AMT.

1 Fillerina 12HA Zee 502035 02/25 1 ml 50 6999.0 0.00 5931.36 3304000 18 1067.6 6999
Densifying Filler Laboratories 609 0 4
Day Cream Grade
4

GST% Taxable Amt CGST SGST IGST TOTAL QUANTITY: 1

0% 0 0 0 0 GROSS AMOUNT: 6999.00
5% 0 0 0 0 DISCOUNT AMOUNT: 0.00
12% 0 0 0 0 BILL AMOUNT: 6999.00
18% 5931.36 0 0 1067.64 ROUND OFF: 0.00
28% 0 0 0 0 PAYABLE AMOUNT: 6999.00

Amount in Words: Six thousand, nine hundred and ninety-nine only E.&.O.E.

All disputes related to this order are subject to haryana Jurisdiction For: Zee Laboratories Ltd

Computer Generated Invoice.

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Pharmacist Signature

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