Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
02143N2300783473
(Original for Recipient)
Date : 2023-07-06
Order ID :
PO18523516729422

For Internal Purpose

Sold By Sold To
TATA 1MG HealthCare Solutions Private Limited Patient Name: Kumar Gautam
Address: C 30 Hans Niwas Kasturba Nagar
(formerly known as 1mg Healthcare Solutions Private Limited
PO Mahendru patna, Bahadurpur, Patna,
and Delhi Mediart Private Limited) 800004, IN,
DL Number: 21:WB/HWH/BIO/R/657656,20:WB/HWH/NBO/ Place of supply: Bihar
R/657656,21B:WB/HWH/BIO/W/657657,20B:WB/HWH/NBO/ Contact: 7250268939
W/657657,20C:WB/HOW/1710/HR,20D:WB/HOW/1719/HW
FSSAI License No: 12822008000247 Doctor name & address:
GST: 19AAFCD7691C1ZG
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: Merrill Logistics Park, Ground Floor, Mouza -
Sandhipur, J.L.No.-04. Khatian No.-788, Dag No.-701-708,
710-718, 720, 723-732, 737, Jaynagar, Sankrail, Dhulagori ,
District - Howrah, Howrah, West Bengal, 711302, India

SR. PRODUCT NAME Mfr. Name BATCH EXP. QTY UOM Pack MRP (₹) DISC TAXABLE HSN GST GST TOTAL
NO. DATE (Unit) Size AMT. (₹) AMT. (₹) RATE AMT. AMT. (₹)
(%) (₹)

1 Baidyanath Shree HRG-39 12/27 1 10 775.0 100.98 641.92 3004901 5 32.1 674.02
Basant Baidyanath 0 1
Kusumakar Ras Ayurved
(S.C.M.Yu) with Bhawan Pvt
Gold, Silver & Ltd
Pearl Maintains
Blood Glucose
Level

2 Dabur Vasant Dabur India SB0045 02/27 1 10 700.0 140.00 533.33 3004901 5 26.67 560
Kusumakar Ras Ltd 2 1
with Gold & Pearl
Tablet

3 Baidyanath Shree HRG-35 12/27 1 mg 500 688.0 102.99 557.15 3004901 5 27.86 585.01
Kalyan Sundar Baidyanath 5A 1
Ras Gold Yukt Ayurved
Bhawan Pvt
Ltd

4 Baidyanath Shree HRG-38 12/27 1 10 413.0 67.69 328.87 3004901 5 16.44 345.31
Mahalaxmi Vilas Baidyanath 0 1
Ras with Gold Ayurved
Bhawan Pvt
Ltd

5 Green Packaging 1 OTH 0.00 2.86 998549 5 0.14 3

Charge
 GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 4
Amt (₹)
GROSS AMOUNT: ₹2576.00
0 0 0 0 0
SHIPPING & VAS ₹3.00
5 2064.13 0 0 103.21 CHARGES:
12 0 0 0 0 DISCOUNT AMOUNT: ₹411.66
18 0 0 0 0 BILL AMOUNT: ₹2167.34
28 0 0 0 0 ROUND OFF: ₹-0.34
PAYABLE AMOUNT: ₹2167.00

For Compliance Purpose

Amount in Words: Rupees two thousand, one hundred and sixty-seven only E.&.O.E.

All disputes related to this order are subject to the jurisdiction of courts at For: TATA 1MG HealthCare Solutions Private Limited

Howrah, West Bengal

Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health