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
CHHAJARSI, GAUTAM BUDH NAGAR, NOIDA,
Triplicate for Supplier
UTTAR PRADESH - 201301 GSTIN : 09AABCR1718E1ZN
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 kanan Shivalya park chandrakar building maa kaushlya,khera chowk near sanjay kanan
park ,Shivalya park near mahasamund chicken boiler Mahasamund, park,
Chhattisgarh - 493445, India. Mobile: 7011388824 Mahasamund, Chhattisgarh - 493445, India. Mobile: 7011388824 Landmark :
Place of supply (State Name) : Chhattisgarh - 22 Shivalya park near mahasamund chicken boiler
Whether tax is payable on reverse charge basis : N

Disc IGST
S.No. Mfr Description Of Goods HSN/SAC MRP Batch No Expiry Qty Rate Total Taxable RateAmt Total Amt
Amt (incl. tax)
1 A

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