MEDICAL RESEARCH FOUNDATION Drug Licence No:

8, G S T Road,St. Thomas Mount Chennai-600 016,Tamil TN-05-21-00241

Nadu, India TN-05-20-00241
Phone +91-44-22346022/1717,22330451/0452 GSTIN: 33AAATM5984H1ZD

DRUG BILL

MRD Number: 4129719 Patient Name : PREMAVATHY RAGHURAMAN SAI Doctor Name: PARAMESWARI C K

Bill Date: 28/07/2020 Sub Category : Free - PAYING Bill Number: BDG04/200728/003788

Payment Number: PYT04/200728/014638

S.No Item Description HSN Code Mfg Batch No Expiry Date Qty Rate Taxable Amt Gst % Gst Amt Amount(Rs)
1 CIPLOX 10ML EYE 30042013 CIP L890804 30/11/2022 1.00 16.65 14.87 12.00 1.78 16.65
DROPS
2 VIGAMOX 5ML DROPS 30042019 ALC 317188F 30/10/2021 1.00 299.00 266.96 12.00 32.04 299.00

Total Amount: 315.65

Rupees Three hundred and sixteen only Round off Total: 316.00

RAMESH A R

For MEDICAL RESEARCH FOUNDATION

"Electronically generated report and does not warrant signature"

Location : REH Date & Time: 28-07-2020 12:59:21
PSPM-10.1 Goods can be taken back with in 30 days of billing. Subject to submission of original Bill