Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

DOOR NO 2/50B,SURVEY NO 134/1B, Duplicate for Transporter

Triplicate for Supplier
NORTH FACING GROUND FLOOR,SANGOTHIPALAYAM, GSTIN : 33AABCR1718E1ZW
ARASUR VILLAGE,SULUR TALUK PAN : AABCR1718E
COIMBATORE - 641659
Drug Licence No : TN-10-20-01567 & TN-10-21-01567
TN-10-20B-00830 & TN-10-21B-00830
FSSAI : 12421003001575

Invoice No : CSHX0G220065784 Order No : 16566003349055041WSO2

Invoice Date : 02-07-2022 Delivery Man : Qwik (Prepaid)

Doctor Name : Dr DRJETTYPRATHYUSHA Patient Name : Mr/Mrs RAJASAMUELY

Billing Address : Raja Samuel Shipping Address : Raja Samuel

Flat 5B1, Tower 6, KGISL PLATINA, CHIL SEZ IT PARK Road, Flat 5B1, Tower 6, KGISL PLATINA, CHIL SEZ IT PARK Road,
keeranatham Road, Saravanapatti ,near CHIL SEZ IT park keeranatham Road, Saravanapatti,
Coimbatore, Tamil Nadu - 641035, India. Mobile: 9941442645 Coimbatore, Tamil Nadu - 641035, India. Mobile: 9941442645
Place of supply (State Name) : Tamil Nadu - 33 Landmark : near CHIL SEZ IT park
Whether tax is payable on reverse charge basis : N

Disc Taxable CGST SGST/UGST Total Amt

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

Minscalp 10% Solution

1 East We 30049099 761.00 E0495 05/23 1 679.46 679.46 135.89 543.57 6 32.61 6 32.61 608.79
60ml

0% 2.5% 6% 9% 14% Total

CGST - - 32.61 - - 32.61
SGST - - 32.61 - - 32.61

Total Item : 1 Total Qty : 1 Sub Total : 679.46

Discount Amount : -135.89
Total Taxable Amount : 543.57
Rs. In Words: Six Hundred Nine Rupees only Total Tax Amount : 65.22
Round Off : 0.21

Paid by : juspay / MASTERCARD-2022-06-30 20:21:54.000 Grand Total : 609.00

*** Your Total Savings: Rs.135.89 ***

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
Powered by TCPDF (www.tcpdf.org)