Invoice no.

: V019N3688747
Tax Invoice/Bill of Supply/Cash Memo
Date : 2022-02-23
(Duplicate)
Order ID :
PO05322144167540

Sold By Patient Name: Suman Jyoti Jana

Address: Govindapur, mahanti marriage
Next-Gen Pharma hall, , Bardhaman, 713341, India,
DL Number: WB/HWH/NBO/R/332235, WB/HWH/BIO/R/332235,
Place of supply: West Bengal
WB/HWH/NBO/W/332236, WB/HWH/BIO/W/332236, WB/ Contact: 7318989698
HOW/1679/HR
FSSAI License No: 12819008000373
Doctor name & address:
GST: 19AAOFN7675G1ZJ
CIN: NA
Address: Srijan Industrial Logistic Park, Unit No. 2 and 3, Block-
A, Part-C, 2nd Floor, L.R. Dag No- 210, L.R. Kh.
No.-1181/1,614,616,1957, J.L No.-030, MOUZA-Ankurhati, NH-6,
Prasastha, Domjur, Howrah, West Bengal, 711302, 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 SBL Bio- SBL Pvt Ltd HT21141 08/26 3 gm 25 95.0 39.90 233.43 3004901 5 11.67 245.1
Combination 17 1 5
Tablet

GST% Taxable Amt CGST SGST IGST TOTAL QUANTITY: 3

0% 0 0 0 0 GROSS AMOUNT: 285.00
5% 233.43 5.84 5.84 0 DISCOUNT AMOUNT: 39.90
12% 0 0 0 0 BILL AMOUNT: 245.10
18% 0 0 0 0 ROUND OFF: -0.10
28% 0 0 0 0 PAYABLE AMOUNT: 245.00

Amount in Words: Two hundred and forty-five only E.&.O.E.

All disputes related to this order are subject to West Bengal Jurisdiction For: Next-Gen Pharma

Computer Generated Invoice.

____ ____ ____ ____
Pharmacist Signature

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