Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

GALA NO.1 TO 11,GROUND FLOOR,MAYASHREE LOGISTICS Duplicate for Transporter

Triplicate for Supplier
CENTRE, GSTIN : 27AABCR1718E1ZP
S.NO-117/4,NEAR BHUMI WORLD,MUMBAI NASIK HIGHWAY, PAN : AABCR1718E
PIMPLAS,TAL:BHIWANDI-14(THANE Z5)
Drug Licence No : MH-TZ5-419857-21B & MH-TZ5-419856-20B
MH-TZ5-464807-20 & MH-TZ5-464808-21
MUMBAI - 421302
MH-TZ5-419858-20G
STATE CODE: 27, MH FSSAI : 11521018000466

Invoice No : CSHX0E230118721 Order No : 16901764679007086MSO1

Invoice Date : 24-07-2023 Delivery Man : Bdart (Prepaid)

Doctor Name : Dr K N B S MAHATHI Patient Name : Mr/Mrs SHYAMU VERMA

Billing Address : Shyamu Verma Shipping Address : Shyamu Verma

Room 13, Shripath Singh Chawl Mount Mary Steps Kadeshwari Road Room 13, Shripath Singh Chawl Mount Mary Steps Kadeshwari Road
bandra West ,Near Ganesh Mandir bandra West ,
Maharastra, Maharashtra - 400050, India. Mobile: 9820766871 Maharastra, Maharashtra - 400050, India. Mobile: 9820766871
Place of supply (State Name) : Maharashtra - 27 Landmark : Near Ganesh Mandir

State Code: 27, MH 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)

1 Glenmar Telma 40mg Tablet 30'S 30049079 227.14 18220607 07/25 5 202.80 1014.00 0.00 1014.00 6 60.84 6 60.84 1135.68

0% 2.5% 6% 9% 14% Total

CGST - - 60.84 - - 60.84
SGST - - 60.84 - - 60.84

Total Item : 1 Total Qty : 5 Sub Total : 1014.00

Discount Amount : -0.00
Total Taxable Amount : 1014.00
Rs. In Words: One Thousand One Hundred Thirty Six Rupees only Total Tax Amount : 121.68
Round Off : 0.32

Paid by : juspay / MASTERCARD-2023-07-24 10:58:28.000 Grand Total : 1136.00

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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