Tax Invoice

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

RELIANCE RETAIL LIMITED Original for Recipient

MILKAT NO 2367, Duplicate for Transporter

Triplicate for Supplier
GAT NO:1140,10TH MILE, GSTIN : 27AABCR1718E1ZP
NEAR KUNDAN PHARMA AP,WADKI PAN : AABCR1718E
PUNE - 412308
Drug Licence No : MH-PZ3-457269-20B & MH-PZ3-457270-21B
MH-PZ3-457267-20 & MH-PZ3-457268-21
STATE CODE: 27, MH
FSSAI : 11521036001150

Invoice No: CSSF78230054483 Order No : 16862323759026443PSO1

Invoice Date : 08-06-2023 Delivery Man : Bdart (Prepaid)

Doctor Name : Dr KATHEEJA NASIKA Patient Name : Mr/Mrs SIVAPRIYA

Billing Address : siva priya Shipping Address : siva priya

Flat F1 Vigneswara Dhanalxmi Apt. Bharati Nagar Main Road ,Zamin Flat F1 Vigneswara Dhanalxmi Apt. Bharati Nagar Main Road ,
Pallavaram Pallavaram Kanchipuram, Tamil Nadu , tamil nadu - 600043, India. Mobile:
Kanchipuram, Tamil Nadu , tamil nadu - 600043, India. Mobile: 8939825856 8939825856
Place of supply (State Name) : tamil nadu - 33 Landmark : Zamin Pallavaram Pallavaram

State Code: 33, TN Whether tax is payable on reverse charge basis : N

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 Sun Pha Moisturex Cream 100gm 30049099 275.00 SXD2842A 11/24 2 245.54 491.08 98.22 392.86 12 47.14 440.00
Maxgalin 50mg Capsule
2 Sun Pha 30049082 119.00 SIE0450A 07/25 3 106.25 318.75 63.75 255.00 12 30.60 285.60
10'S
3 Ipca La Lacsoft Lotion 50ml 30049099 205.00 IF11 06/24 2 183.04 366.08 73.22 292.86 12 35.14 328.00

0% 5% 12% 18% 28% Total

IGST - - 112.88 - - 112.88

Total Item : 3 Total Qty : 7 Sub Total : 1175.91

Discount Amount : -235.19
Total Taxable Amount : 940.72
Rs. In Words: One Thousand Fifty Four Rupees only Total Tax Amount : 112.88
Round Off : 0.40

Paid by : juspay / TWID-2023-06-08 19:24:03.000 Grand Total : 1054.00

*** Your Total Savings: Rs.235.19 ***

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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