Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
00971N2200178503
(Duplicate)
Date : 2022-11-01
Order ID :
PO30422310700230

For Internal Purpose

Sold By Sold To
Pharmacy Fulfilment Private Limited Patient Name: Subudhi Rajesh
Address: Bamakei main road,bamakei,in
DL Number: 20: KH-40655/R, 21: KH-40656/RC, 20F: KH-17343/
front of ram laxman temple, , Ganjam,
RX 761042, IN,
FSSAI License No: 12021033000234 Place of supply: Odisha
GST: 21AALCP9481G1Z5 Contact: 9078105671
CIN: NA
Address: Plot No 23, 2nd Floor, Goutham Nagar, Bhuvneshwar, Doctor name & address:
Odisha, 751014, India

SR. PRODUCT NAME Mfr. Name BATCH EXP. QTY UOM Pack MRP (₹) DISC TAXABLE HSN GST GST TOTAL
NO. DATE (Unit) Size AMT. (₹) AMT. (₹) RATE AMT. AMT. (₹)
(%) (₹)

1 Nestle Cerelac Nestle India 225004 09/23 1 gm 300 263.0 0.00 222.88 1904900 18 40.12 263
Baby Cereal with Ltd 53A8 0
Milk from 8 to 24
Months Wheat
Apple Cherry

GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 1
Amt (₹)
GROSS AMOUNT: ₹263.00
0 0 0 0 0
DISCOUNT AMOUNT: ₹0.00
5 0 0 0 0
BILL AMOUNT: ₹263.00
12 0 0 0 0
ROUND OFF: ₹0.00
18 222.88 20.06 20.06 0
PAYABLE AMOUNT: ₹263.00
28 0 0 0 0

For Compliance Purpose

Amount in Words: Rupees two hundred and sixty-three only E.&.O.E.

All disputes related to this order are subject to the jurisdiction of courts at For: Pharmacy Fulfilment Private Limited

Bhuvneshwar, Odisha
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health