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Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
01533N2300368038
(Duplicate)
Date : 2023-05-23
Order ID :
PO14223223258569

For Internal Purpose

Sold By Sold To
TATA 1MG Healthcare Solutions Private Limited Patient Name: Raj Kumar Sharma
Address: House No. 1310, Red Gate, Front of
(formerly known as 1mg Healthcare Solutions Private Limited
Patriot Inter College, Unnao, 209801, IN,
and Delhi Mediart Private Limited) Pitambar Nagar
DL Number: 20-C:5620-H,20:5621-OB,21:5621-B,20-B- Place of supply: Uttar Pradesh
HR-66-1505-OW/H,21-B-HR-66-1505-W/H,20-D:HR-66-1506- Contact: 9936054691
H
FSSAI License No: 10821005001350 Doctor name & address:
GST: 06AAFCD7691C1ZN
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: First Floor Block 3 Hafed Warehouse, New
Anaj Mandi, Khandsa Road, Gurgaon, Haryana, 122001, 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 Allen A15 Allen A114IG 12/27 3 ml 30 170.0 76.50 387.05 3004909 12 46.45 433.5
Indigestion Gas & Homoeo 9
Acidity Drop &
Herbal
Products Ltd

2 Allen A29 Sciatica Allen A085SR 05/27 3 ml 30 160.0 72.00 364.29 3004909 12 43.71 408
Relief Drop Homoeo 9
&
Herbal
Products Ltd

3 Green Packaging 1 OTH 0.00 2.68 998549 12 0.32 3


Charge
GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 6
Amt (₹)
GROSS AMOUNT: ₹990.00
0 0 0 0 0
SHIPPING & VAS ₹3.00
5 0 0 0 0 CHARGES:
12 754.02 0 0 90.48 DISCOUNT AMOUNT: ₹148.50
18 0 0 0 0 BILL AMOUNT: ₹844.50
28 0 0 0 0 ROUND OFF: ₹0.50
PAYABLE AMOUNT: ₹845.00

For Compliance Purpose

Amount in Words: Rupees eight hundred and forty-five 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

Gurgaon, Haryana
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health

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