Tax Invoice

Netmeds CS Number: 72007-12345 / Email: cs@netmeds.com

RELIANCE RETAIL LIMITED Original for Recipient

KHATA NO.00443,ARAZI NO.1775, Duplicate for Transporter

Triplicate for Supplier
NH-27,SACHENDI,SACHENDI, GSTIN : 09AABCR1718E1ZN
KANPUR NAGAR Drug Licence No : UP7820B001293-20B & UP7821B001286-21B
UP78200001705-20 & UP78210001705-21
KANPUR - 209304
FSSAI : 12722045000180

Invoice No : CSSG54220026810 Order No : 16514656529012803ASO1

Invoice Date : 02-05-2022 Delivery Man : Ecom_Express (CoD)

Doctor Name : Dr .......... Patient Name : Mr/Mrs JuhiSiddharthRajput

Billing Address : Juhi Siddharth Rajput Shipping Address : Juhi Siddharth Rajput
Dhampur ,Near Shela Talkies Dps School Dhampur ,
Bijnor, Uttar Pradesh - 246734, India. Mobile: 8392891675 Bijnor, Uttar Pradesh - 246734, India. Mobile: 8392891675
Place of supply (State Name) : Uttar Pradesh - 9 Landmark : Near Shela Talkies Dps School
Whether tax is payable on reverse charge basis : N

Disc Taxable CGST SGST/UGST Total Amt

S.No. Mfr Description Of Goods HSN/SAC MRP Batch No Expiry Qty Rate Total
Amt Amt Rate Amt Rate Amt (incl. tax)

Revital H Woman Tablet

1 Sun Pha 21069099 345.00 NFY0187 05/23 1 292.37 292.37 43.86 248.51 9 22.37 9 22.37 293.25
30'S

0% 2.5% 6% 9% 14% Total

CGST - - - 22.37 - 22.37
SGST - - - 22.37 - 22.37

Total Item : 1 Total Qty : 1 Sub Total : 292.37

Discount Amount : -43.86
Total Taxable Amount : 248.51
Rs. In Words: Two Hundred Ninety Three Rupees only Total Tax Amount : 44.74
Round Off : -0.25

Payment Mode : Cash on Delivery Grand Total : 293.00

*** Your Total Savings: Rs.43.86 ***

Authorized signatory

Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.

Registered Office- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Tala, Mumbai-400002 Phone-+91-22 67673800
CIN -U01100MH1999PLC120563 PAN- AABCR1718E Website- www.relianceretail.com Toll-18001027382 email-customerservice@ril.com
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