Tax Invoice Invoice no.

: C7059-22-1009722

Order ID: 245111560084439040-90402 Order Date: 29-10-2022

POS: 29-Karnataka Invoice Date: 29-10-2022
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
Be Well Pharma Subaika Shabnam
K No 698/35/36/37/38, PLOT NO M R Residency flat no 13 3rd floor
11, Ground Floor, Bommasandra, 8th cross madina Nagar,
Jigani Link road, Mangammanapalya, , Bengaluru
Amount payable includes other
GSTIN 29AATFB6503G1Z8 Doctor Name SOMULA 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
MONTEMAC L MACLEODS 30049 KMF22 01/25 135.00 33.76 114.75 12.0 7 708.71
1
TABLET PHARMACE 0 02C

FOLIFAST INTAS 30049 TIF220 12/24 274.00 57.54 216.46 12.0 1 216.46
2
HAIR PHARMACE 0 01

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 1219.00
826.05 6.00 49.57 6.00 49.57 PharmEasy Savings @ 16.35% 199.29
826.05 49.57 49.57
Subtotal 1019.71
Coupon Savings 94.54

Notes:

Total Invoice Amount 925.17

Total savings is Rs. 293.83/-
Amount In Words : Nine Hundred Twenty Five Rupees And Seventeen 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