MEMO Original/Dupliacte/Triplicate

AYUSH DISTRIBUTORS
Memo No
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LIMITED : 322CHL222601890
Memo Date : 07-Jan-2023
SHOP NO.94-95, GROUND,, 1ST,2ND & 3RD FLOOR,, RAIPUR - 492001. Phone:8827819400 Mobile :8827819400 , WARD NO 53 AUSHDHI VATIKA,,
DUMARTARAI, PAN:AYOPM4099B,FSSAI : 20521079001852 DrugLicNo.: 20B-41089, DrugLicNo:21B-41090 GSTNo.:22AYOPM4099B1ZD
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B/27079 Details of Consignee(Shipped to)
Name : VIJAY PHARMA [ 9002134 ] DL NO : 21B/27080 Name : VIJAY PHARMA [ 9002134 ]
Address : SHOP NO.1 NEW BLOCK FARISHTA Place of supply & State : CHATTISGARH , RAIPUR (C.G.)
Addres : SHOP NO.1 NEW BLOCK FARISHTA PAN NO. : AIXPM7698H 20521079001864
COMPLEX Place of Delivery : CHATTISGARH , RAIPUR (C.G.)
COMPLEX State : CHATTISGARH
N/A
N/A GSTIN/Unique ID : 22AIXPM7698H1ZD RAIPUR (C.G.) - 492001Mo. 9329750748 , 0
RAIPUR (C.G.) - 492001
Mo. 9329750748 , 0 HO Order No : 322ROR222601497 State : CHATTISGARH
GSTIN/Unique ID : 22AIXPM7698H1ZD

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

INDIUM
AAGYA BIOTECH PRIVATE LIMITED,Uttrakhand
1 SUCRATAS- O SUS 200ML 30049099 S-221123 10-24 30 NOS. 295.00 45.00 1,350.00 12.00 81.00 81.00 0.00 1,512.00
10.00 % Scheme Discount On 45.00

EAST AFRICAN INDIA OVERSEAS,DEHRADUN

2 SUCRATAS SYRUP 200 ML 30049039 SUS-112201 10-24 30 NOS. 136.59 48.15 1,444.50 12.00 86.67 86.67 0.00 1,617.84
10.00 % Scheme Discount On 48.15

RIVPRA FORMULATION PVT LTD,HARIDWAR

3 ONDET MD 10 TAB 30049035 T-2206066 5-24 200 NOS. 58.30 4.60 920.00 12.00 55.20 55.20 0.00 1,030.40
VIDIT HEALTHCARE,Sirmour
4 ONDET 30ML 30049035 VHL2207048 6-24 24 NOS. 41.79 11.00 264.00 12.00 15.84 15.84 0.00 295.68

Remarks : Total: 3,978.50

Tax Amount 477.42

Expected TDS Amount 3.98

Invoice Total 4,451.94

Rounding off(+/-) 0.06

Net Amount 4,452.00

Invoice Total (In Words) :
RUPEES FOUR THOUSAND FOUR HUNDRED
FIFTY-TWO ONLY

Printed Date : 07-Jan-2023 Page 1 of 1

 MEMO Original/Dupliacte/Triplicate
AYUSH DISTRIBUTORS
Memo No
CONSIGNEE AGENT FOR INTAS PHARMACEUTICALS LIMITED : 322CHL227102163
Memo Date : 07-Jan-2023
SHOP NO.94-95, GROUND,, 1ST,2ND & 3RD FLOOR,, RAIPUR - 492001. Phone:8827819400 Mobile :8827819400 , WARD NO 53 AUSHDHI VATIKA,,
DUMARTARAI, PAN:AYOPM4099B,FSSAI : 20521079001852 DrugLicNo.: 20B-41089, DrugLicNo:21B-41090 GSTNo.:22AYOPM4099B1ZD
State:CHATTISGARH
Details of Receiver(Billed to) DL NO : 20B/27079 Details of Consignee(Shipped to)
Name : VIJAY PHARMA [ 9002134 ] DL NO : 21B/27080 Name : VIJAY PHARMA [ 9002134 ]
Address : SHOP NO.1 NEW BLOCK FARISHTA Place of supply & State : CHATTISGARH , RAIPUR (C.G.)
Addres : SHOP NO.1 NEW BLOCK FARISHTA PAN NO. : AIXPM7698H 20521079001864
COMPLEX Place of Delivery : CHATTISGARH , RAIPUR (C.G.)
COMPLEX State : CHATTISGARH
N/A
N/A GSTIN/Unique ID : 22AIXPM7698H1ZD RAIPUR (C.G.) - 492001Mo. 9329750748 , 0
RAIPUR (C.G.) - 492001
Mo. 9329750748 , 0 HO Order No : 322ROR227101680 State : CHATTISGARH
GSTIN/Unique ID : 22AIXPM7698H1ZD

Sr.# Material HSN NO. Batch ExpDt. Qty UOM MRP Rate Taxable Amt. Tax% SGST CGST IGST TotalAmt

INNOVA
NANZ MED SCIENCE PHARMA PVT. LTD.,DISTT. SIRMOUR,
1 INTAFRESH MOUTHWASH 150 ML 30041090 IFL-090 7-24 25 NOS. 107.00 36.00 900.00 12.00 54.00 54.00 0.00 1,008.00

Remarks : Total: 900.00

Tax Amount 108.00

Expected TDS Amount 0.90

Invoice Total 1,007.10

Rounding off(+/-) -0.10

Net Amount 1,007.00

Invoice Total (In Words) :
RUPEES ONE THOUSAND SEVEN ONLY

Printed Date : 07-Jan-2023 Page 1 of 1