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Delivery Summary Order Date : 08-05-2022

DELIVERY ADDRESS

Babita Kumari
123/7 , 2nd floor, Bhanu nursing home road, 2nd cross , 13th stage , bommanahalli,
Near Central Silk Board - 560068, Bengaluru

S. Total Total Invoice


Invoice No. Patient Name Doctor Name
No Med Qty Amt

1 C3380-22-0401629 Rajosa Dr. Ameya 1 10 335

2 C3380-22-0401630 Rajo Sah Dr. Hina Khaleel 1 5 1342.75

Total Invoice Amount Rs. 1677.75

Total Savings On Order Rs. 368.25

For Support : Visit NEED HELP section in Pharmeasy App


Tax Invoice Invoice no. : C3380-22-0401629

Order ID: 60360657 Order Date: 08-05-2022


POS: 29-Karnataka Invoice Date: 08-05-2022
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
BE WELL PHARMA Rajosa
PID NO- 41-3-99, GROUND FLOOR, NTY 123/7 , 2nd floor, Bhanu nursing home road,
LAYOUT , TELICOM LAYOUT, 2nd cross , 13th stage , bommanahalli, Near
Central Silk Board -
GSTIN 29AATFB6503G1Z8 Doctor Dr. Ameya Thaware

DL No. KA-B21-207846,KA-B21-207845 ,KA-B21-207847 ,KA-B21-207844

UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
GLYCIPHAGE FRANCO 30049 21100 06/23 40.85 7.35 33.5 12 10 335
1 011
SR 1GM STRIP INDIAN

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 408.5
299.11 6 17.95 6 17.95 PharmEasy Savings @ 17.99% -73.5
299.11 17.95 17.95
Subtotal 335

Notes:

Total Invoice Amount 335


Total savings is Rs. 73.5/-
Amount In Words : Three Hundred Thirty Five Rupees And zero paise.

PHARMACIST Rajani G A(PR No.: 63390)


For BE WELL PHARMA Authorized Signature
Whether GST is payable on reverse charge - No. Keep the original invoice and barcode on medicines intact for
returns. Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.
For details visit https://pharmeasy.in/terms-and-conditions.

Original for recipient Duplicate for transporter Triplicate for supplier

1
Tax Invoice Invoice no. : C3380-22-0401630

Order ID: 60360657 Order Date: 08-05-2022


POS: 29-Karnataka Invoice Date: 08-05-2022
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
BE WELL PHARMA Rajo Sah
PID NO- 41-3-99, GROUND FLOOR, NTY 123/7 , 2nd floor, Bhanu nursing home road,
LAYOUT , TELICOM LAYOUT, 2nd cross , 13th stage , bommanahalli, Near
Central Silk Board -
GSTIN 29AATFB6503G1Z8 Doctor Dr. Hina Khaleel

DL No. KA-B21-207846,KA-B21-207845 ,KA-B21-207847 ,KA-B21-207844

UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
GALVUS 50MG NOVARTIS 30049 LP585 01/24 327.5 58.95 268.55 12 5 1342.75
1
STRIP OF 15 T HEALTHCA 099 7

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 1637.5
1198.88 6 71.93 6 71.93 PharmEasy Savings @ 18% -294.75
1198.88 71.93 71.93
Subtotal 1342.75

Notes:

Total Invoice Amount 1342.75


Total savings is Rs. 294.75/-
Amount In Words : One thousand Three Hundred Forty Two Rupees And Seventy Five paise.

PHARMACIST Rajani G A(PR No.: 63390)


For BE WELL PHARMA Authorized Signature
Whether GST is payable on reverse charge - No. Keep the original invoice and barcode on medicines intact for
returns. Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.
For details visit https://pharmeasy.in/terms-and-conditions.

Original for recipient Duplicate for transporter Triplicate for supplier

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