GST INVOICE DR.

VIJAT BHATT G
Jeqline Pha rmacy Cred
Bil No. 42 V irat Lane, 45-ANC/B lock 45,Building No. 34,
Sakar - I,. Near Man i Ratnam Complex,
Date 12·10-2021 RoshniLene,Opp.
MG Road, Opp. Hanuman Temple, V adodara,
N o. of Cases Circut House Vadodcra
Ph.· 9727955514 E ma il : J eq line@gmai l.com lO Box
Transport Ph N o.: 02651234569898098985
PatelTransport
GST IN : 24AKPPP 1343N 1ZK PAN N o. Due Oa:e 17·12·2021 DL N o. dll23 ,d1456
GST No.24ABCD E1234w1ZO PAN N o.ABCDE 1234w
Sr. Mfg Product Name Pack HSN Cod e Batch No. Exp Dt Qty Scm CGST Amt SGST Amt PTR M RP Rate Amount
1 Alem antizB'le 1 10 30049031 TN-6424 03·2023 30 3 %6.00 104.15 %6.00 104.1 64.28 90 57.86 1735.8
5
2 b antizB'le 1 10 30049031 DPC·2101 10-2022 120 0 6.00 411.9 6.00 63.57 89 57.21 6865.2
1 411.9
3 Alem antizB'le 1 10 30049031 Z 20118 06·2023 15 0 6.00 6.00 1 63.57 89 57.22 858.3
4 polina f N HT-1505 51.50
b lXlO 21069099 10-2022 10 2 9.00 9.00 189.8 280 170.84 1708.4
153.76 51.50
3
Alem 153.7
b 6
Dr.Wi

T velveThousandSix Hundred Ten Only GST% Taxable Amt SGSTAmt. CGST Amt. TaxAmt. GrossAmount 11167.70
12% 9459.30 567.56 567.56 1135.12 Less(-)
B"'k Detais: 0.00
18% 1700.40 153.76 153.76 7.S2
State Bank of India Add (•)
Ac. No. : 30860782555 IFSC Code SBIN222ED1 Total Tax 1,442.64
Terms& Conditions : (-) Round Off -0.34
Subject toVa:lodara Juris:tication
Actv cnce Pcwment before Oetverv.
Net Amount : 12610.00

For Jeqline Pharmacy

Certified that the particularsgiven above are true and correct and the amount indicated
represents the price actually charged & there is nof lo\v d additional consideration directly or indirectly
Note 1) No claim againstthis\viii be entertained unless brought to our notice in\vithin three days,2) Interest @ 24%\vill be chareged on bill if not paid in 21 days.
Authori9:dSgnatorv
DLN 20C VAD 94560 200VAD 93441Dated 20 Mar 2000