Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

OFFICE NO.7,7TH FLOOR, Duplicate for Transporter

Triplicate for Supplier
TP SCHEME NO-6,FP NO. 286/P2,275 & 277, GSTIN : 24AABCR1718E1ZV
RELIANCE MALL, NEAR UDHNA DARWAJA PAN : AABCR1718E
SURAT - 395002
Drug Licence No : GJ-SUR-208035-20 & GJ-SUR-208036-21
GJ-SUR-208037-20B & GJ-SUR-208038-21B
STATE CODE: 24, GJ
FSSAI : 10722031000510

Invoice No : CSSK3U220072154 Order No : 16729028199019841ASO1

Invoice Date : 05-01-2023 Delivery Man : XpressBees (CoD)

Doctor Name : Dr DRKIRANKUMAR Patient Name : Mr/Mrs MUKESH

Billing Address : eisha agrawal Shipping Address : eisha agrawal

4,Joyal Nagar Near MGM School New Sama Road Vadodara ,Chanakpuri 4,Joyal Nagar Near MGM School New Sama Road Vadodara,
Vadodara, Gujarat - 390024, India. Mobile: 8141705652 Vadodara, Gujarat - 390024, India. Mobile: 8141705652
Place of supply (State Name) : Gujarat - 24 Landmark : Chanakpuri

State Code: 24, GJ 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)

22081062
1 Unison Rosuson 40mg Tablet 10'S 30049099 129.70 07/25 2 115.80 231.60 57.90 173.70 6 10.42 6 10.42 194.54
9
Fdson MP Forte Tablet 22081068
2 Unison 30045039 52.30 07/24 2 46.70 93.40 23.35 70.05 6 4.20 6 4.20 78.45
10'S 2
3 Glenmar EPTUS 25mg Tablet 15's 30049079 550.00 18220180 02/25 2 491.07 982.14 245.53 736.61 6 44.20 6 44.20 825.01

4 Intas P XYGREL AS Combi Kit 21's 30049099 295.00 N2200298 12/23 2 263.39 526.78 131.70 395.08 6 23.70 6 23.70 442.48

0% 2.5% 6% 9% 14% Total

CGST - - 82.52 - - 82.52
SGST - - 82.52 - - 82.52

Total Item : 4 Total Qty : 8 Sub Total : 1833.92

Discount Amount : -458.48
Total Taxable Amount : 1375.44
Rs. In Words: One Thousand Five Hundred Forty Rupees only Total Tax Amount : 165.04
Round Off : -0.48

Payment Mode : Cash on Delivery Grand Total : 1540.00

*** Your Total Savings: Rs.458.48 ***

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
Powered by TCPDF (www.tcpdf.org)