Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

PLOT BEARING NO. C-21, Duplicate for Transporter

Triplicate for Supplier
BASEMENT FLOOR,SECTOR 80, GSTIN : 09AABCR1718E1ZN
NOIDA, GAUTAM BUDH NAGAR PAN : AABCR1718E
NOIDA - 201301
Drug Licence No : UP16200002363 & UP16210002363
UP1620B000680 & UP1621B000671
STATE CODE: 9, UP
CMS MRT(HOMOEO)/2023-24/RETAIL/30
CMS MRT(HOMOEO)/2023-24/WHOLESALE/82
FSSAI : 12723055000093

Invoice No: CSSX9A230387757 Order No : 16935489879006780ASO2

Invoice Date : 01-09-2023 Delivery Man : BLUEDART (Prepaid)

Doctor Name : Dr ZAMA HUSSAIN SAIYED Patient Name : Mr/Mrs CHETHAN GOWDA

Billing Address : Chethan gowda Shipping Address : Chethan gowda

Raktheshvari Padavu, Parenky Village, Madanthyar Post, ,Belthangady Raktheshvari Padavu, Parenky Village, Madanthyar Post,,
Taluk. Dakshina Kannada, Karnataka - 574224, India. Mobile: 8971597024
Dakshina Kannada, Karnataka - 574224, India. Mobile: 8971597024 Landmark : Belthangady Taluk.
Place of supply (State Name) : Karnataka - 29 Whether tax is payable on reverse charge basis : N
State Code: 29, KA

Disc Taxable IGST Total Amt

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

1 J B CHE CILACAR 10 Tablet 15's 30049099 193.65 AC923017 04/26 2 172.90 345.80 34.58 311.22 12 37.35 348.57

0% 5% 12% 18% 28% Total

IGST - - 37.35 - - 37.35

Total Item : 1 Total Qty : 2 Sub Total : 345.80

Discount Amount : -34.58
Total Taxable Amount : 311.22
Rs. In Words: Three Hundred Forty Nine Rupees only Total Tax Amount : 37.35
Round Off : 0.43

Paid by : juspay / visa-2023-09-01 11:47:01.000 Grand Total : 349.00

*** Your Total Savings: Rs.34.58 ***

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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