Tax Invoice Invoice no.

: C7059-22-0776211

Order ID: 226398367965032448-73721 Order Date: 07-09-2022

POS: 29-Karnataka Invoice Date: 07-09-2022
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
Be Well Pharma Rajosa
K No 698/35/36/37/38, PLOT NO 123/7 , 2nd floor, Bhanu nursing
11, Ground Floor, Bommasandra, home road, 2nd cross , 13th stage ,
Jigani Link road, bommanahalli, ,
Amount payable includes other
GSTIN 29AATFB6503G1Z8 Doctor Name Ameya Thaware charges incurred by platform

DL No. KA-B62-224778,KA-B62-224779,KA-B62-224780,KA-B62-224781
UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
GLYCIPHAGE FRANCO 30049 TP210 10/23 40.85 6.13 34.72 12.0 12 416.67
1 0 71
SR 1GM STRIP INDIAN

3 PLY FACE 63079 MAR20 12/25 160.00 120.0 40.00 5.0 2 80.00
2 SURGICAL 0 20 0
MASK PACK

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 810.20
76.19 2.50 1.91 2.50 1.91 PharmEasy Savings @ 38.70% 313.53
372.03 6.00 22.32 6.00 22.32
448.22 24.23 24.23
Subtotal 496.64

Notes:

Total Invoice Amount 496.67

Total savings is Rs. 313.53/-
Amount In Words : Four Hundred Ninety Six Rupees And Sixty Seven paise.

PHARMACIST Naveena K(PR No.: 67428)

For Be Well Pharma Pharmacist 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 Receipent Duplicate For Transporter Triplicate For Supplier

1
 Tax Invoice Invoice no. : C7059-22-0776212

Order ID: 226398367965032448-73721 Order Date: 07-09-2022

POS: 29-Karnataka Invoice Date: 07-09-2022
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
Be Well Pharma Rajo Sah
K No 698/35/36/37/38, PLOT NO 123/7 , 2nd floor, Bhanu nursing
11, Ground Floor, Bommasandra, home road, 2nd cross , 13th stage ,
Jigani Link road, bommanahalli, ,
Amount payable includes other
GSTIN 29AATFB6503G1Z8 Doctor Name Hina Khaleel charges incurred by platform

DL No. KA-B62-224778,KA-B62-224779,KA-B62-224780,KA-B62-224781
UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
GALVUS 50MG NOVARTIS 30049 ME522 09/24 327.50 49.13 278.38 12.0 3 835.12
1
STRIP HEALTHCA 099 3

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 982.50
745.64 6.00 44.74 6.00 44.74 PharmEasy Savings @ 15.00% 147.38
745.64 44.74 44.74
Subtotal 835.14

Notes:

Total Invoice Amount 835.12

Total savings is Rs. 147.38/-
Amount In Words : Eight Hundred Thirty Five Rupees And Twelve paise.

PHARMACIST Naveena K(PR No.: 67428)

For Be Well Pharma Pharmacist 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 Receipent Duplicate For Transporter Triplicate For Supplier