Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

SY NO.133/137,UNIT NO.B-1,LG LEVEL, Duplicate for Transporter

Triplicate for Supplier
INDOSPACE BOMMASANDRA LOGISTICS PARK, GSTIN : 29AABCR1718E1ZL
RAJAPURA VILLAGE,JIGANI HOBLI,ANEKAL TALUK, PAN : AABCR1718E
BANGALORE - 562106
Drug Licence No : KA-B62-209707-20 & KA-B62-209708-21
KA-B62-209710-21B & KA-B62-209709-20B
STATE CODE: 29, KA
FSSAI : 11221302000902

Invoice No: CSSF40230233618 Order No : 16935489879006780ASO1

Invoice Date : 01-09-2023 Delivery Man : ECOMEXPRESS (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 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)

SITANORM M 50/500 Tablet

1 Micro L 30049099 149.00 SIMR004 06/24 1 133.04 133.04 13.30 119.74 6 7.18 6 7.18 134.10
15's
Arkamin 100mcg Tablet
2 Torrent 30049076 72.65 8NY2J033 10/24 1 64.87 64.87 6.49 58.38 6 3.50 6 3.50 65.38
30'S
SHIPPING/HANDLING &COD
3 - 996819 - - - - 24.58 - - - 9 2.21 9 2.21 29.00
CHARGES

0% 2.5% 6% 9% 14% Total

CGST - - 10.68 2.21 - 12.89
SGST - - 10.68 2.21 - 12.89

Total Item : 2 Total Qty : 2 Sub Total : 222.49

Discount Amount : -19.79
Total Taxable Amount : 202.70
Rs. In Words: Two Hundred Twenty Eight Rupees only Total Tax Amount : 25.78
Round Off : -0.48

Paid by : juspay / visa-2023-09-01 11:47:01.000 Grand Total : 228.00

*** Your Total Savings: Rs.19.79 ***

R.P. Signature
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)