Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

E-326, Duplicate for Transporter

Triplicate for Supplier
ROAD NO. 16, GSTIN : 08AABCR1718E1ZP
VKI AREA PAN : AABCR1718E
JAIPUR - 302013
Drug Licence No : DRUG/2021-22/65979-20 & DRUG/2021-22/65980-21
DRUG/2021-22/62116-20B & DRUG/2021-22/62117 -21B
FSSAI : 12221026001740

Invoice No : CSSF31220208850 Order No : 16610448489005964MSO1

Invoice Date : 21-08-2022 Delivery Man : Ecom_Express (Prepaid)

Doctor Name : Dr gudpudichoudhury Patient Name : Mr/Mrs ANKITDWIVEDI

Billing Address : ANKIT DWIVEDI Shipping Address : ANKIT DWIVEDI

Meena Jindal, 5968, 1st floor, block no.3, gali no.4, Devnagar, Karolbagh Meena Jindal, 5968, 1st floor, block no.3, gali no.4, Devnagar, Karolbagh,
,Kikar wala chowk bus stand Central Delhi, Delhi - 110005, India. Mobile: 7827313192
Central Delhi, Delhi - 110005, India. Mobile: 7827313192 Landmark : Kikar wala chowk bus stand
Place of supply (State Name) : Delhi - 7 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)

Patanjali Special ACZ22000

1 Patanja 30049011 280.00 02/25 1 250.00 250.00 0.00 250.00 12 30.00 280.00
Chyawanprash 1 kg 10

0% 5% 12% 18% 28% Total

IGST - - 30.00 - - 30.00

Total Item : 1 Total Qty : 1 Sub Total : 250.00

Discount Amount : -0.00
Total Taxable Amount : 250.00
Rs. In Words: Two Hundred Eighty Rupees only Total Tax Amount : 30.00
Round Off : 0.00

Paid by : juspay / NB_SBI-2022-08-21 06:52:10.000 Grand Total : 280.00

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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