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TAX INVOICE

( Original for Recipient )


PATIENT NAME: VISHWAJEET RANA

PATIENT ADDRESS: INVOICE NUMBER: 22256S106844

DOCTOR NAME: APURVA PANDE DATE : 2023-03-05 | TIME : 19:25:54 PAY HERE

DESCRIPTION OF GOODS LOOSE BATCH NO. DISC GST


QTY MRP AMT
HSN / SAC CODE QTY EXPIRY DATE % %
EVION 400MG 10CAP 2337C59900
4 0 35.90 10% 12% 129.22
204515 2025-01-01
ROSUVAS 10MG 15TAB SID2248A
3 0 291.99 10% 12% 788.35
317766 2025-01-01
GELUSIL-MPS SYP 200ML 2219321E
1 0 139.13 10% 12% 125.20
301209 2024-09-01
GILL SH/BLADE GUARD 6PC X2347862026
1 0 55.00 0% 18% 54.99
300028 2025-12-01

Wellness Forever Medicare Limited


CGST ₹60.04 GROSS AMOUNT ₹1201.21
SITE NO.4BC-702, 1ST BLOCK,GROUND
SGST ₹60.04 DISCOUNT ₹103.45
FLR,BRUHAT BENGALURU MAHANAGAR
IGST ₹0.00 DELIVERY CHARGES ₹00.00
PALIKE,WARD NO. 27-88, HRBR
CESS AMOUNT ₹0.00 NET PAYABLE ₹1097.76
LAYOUT,BANGALURU.
TOTAL TAX AMOUNT ₹120.08 ONE THOUSAND NINETY SEVEN RUPEES AND SEVENTY SIX PAISE
CONTACT NO.: ONLY
TAXABLE AMOUNT ₹977.68

THANK YOU FOR SHOPPING WITH US!


DL NO.: 20-KA-B51-202002,21-202003 WELLNESS FOREVER MEDICARE LIMITED
Regd. Off: 7th foor, Wing A, Empire Plaza, IT Park, LBS
GSTIN.: 29AAACW7565P1ZD
Marg, Vikhroli West, Mumbai - 400083
CIN NO.: U24239MH2008PTC178658 webstore.wellnessforever.in Authorized Signature
This is computer generated invoice does not require signature
STATE: KARNATAKA (29)

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