Tax Invoice

Netmeds CS Number: 72007-12345 / Email: cs@netmeds.com

RELIANCE RETAIL LIMITED Original for Recipient

B-32, BASEMENT SECTOR-63, Duplicate for Transporter

Triplicate for Supplier
CHHAJARSI, GAUTAM BUDH NAGAR, NOIDA, GSTIN 09AABCR1718E1ZN
:
UTTAR PRADESH - 201301 PAN : AABCR1718E
Drug Licence No : UP16200000927-20 & UP16210000927-21
FSSAI : 12721055000002

Invoice No : CSHX02220168379 Order No : 16569558029075105MSO1

Invoice Date : 05-07-2022 Delivery Man : Delhivery (CoD)

Doctor Name : Dr .......... Patient Name : Mr/Mrs ShubhamSingh

Billing Address : Shubham Singh Shipping Address : Shubham Singh

Shivalya park chandrakar building maa kaushlya,khera chowk near sanjay Shivalya park chandrakar building maa kaushlya,khera chowk near sanjay
kanan park ,Shivalya park near mahasamund chicken boiler kanan park,
Mahasamund, Chhattisgarh - 493445, India. Mobile: 7011388824 Mahasamund, Chhattisgarh - 493445, India. Mobile: 7011388824
Place of supply (State Name) : Chhattisgarh - 22 Landmark : Shivalya park near mahasamund chicken boiler
Whether tax is payable on reverse charge basis : N

Disc Taxable IGST Total Amt

S.No. Mfr Description Of Goods HSN/SAC MRP Batch No Expiry Qty Rate Total
Amt Amt Rate Amt (incl. tax)

Durex Invisible Super

10016415
1 Reckitt Ultra Thin Condoms for 40141010 143.00 11/26 1 143.00 143.00 7.15 135.85 0 0.00 135.85
33
Men 3's

0% 5% 12% 18% 28% Total

IGST - - - - - 0.00

Total Item : 1 Total Qty : 1 Sub Total : 143.00

Discount Amount : -7.15
Total Taxable Amount : 135.85
Rs. In Words: One Hundred Thirty Six Rupees only Total Tax Amount : 0.00
Round Off : 0.15

Payment Mode : Cash on Delivery Grand Total : 136.00

*** Your Total Savings: Rs.7.15 ***

Authorized signatory

Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.

Registered Office- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Tala, Mumbai-400002 Phone-+91-22 67673800
CIN -U01100MH1999PLC120563 PAN- AABCR1718E Website- www.relianceretail.com Toll-18001027382 email-customerservice@ril.com
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