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Invoice no.

:
Tax Invoice/Bill of Supply/Cash Memo
00040N2300027694
(Original for Recipient)
Date : 2023-10-12
Order ID :
PO28323427987763

For Internal Purpose

Sold By Sold To
OM MEDICOS Patient Name: Jaydeep Bhai
Address: D-52 Anand nagar colony, near
DL Number: 20:GJ-ADC-168458,21:GJ-ADC-168459
pooja vidhyalay ,Baroda Express highway,
FSSAI License No: 20721037002352 CTM Ahmedabad-380026, Ramol,
GST: 24AEMPJ2620K1ZL Ahmedabad, 380026, IN, Anand Colony
CIN: NA Place of supply: Gujarat
Contact: 9898381226
Premise Address: A-103, Yash flora, Naroda, Ahmedabad,
Ahmedabad, Gujarat, 382350, India
Doctor name & address: Dr. Bukke Jyothi

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 Morr F 5% Intas M23066 04/25 1 ml 60 775.0 0.00 691.96 12 83.04 775


Solution Pharmaceutic 12
als Ltd

GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 1
Amt (₹)
GROSS AMOUNT: ₹775.00
0 0 0 0 0
DISCOUNT AMOUNT: ₹0.00
5 0 0 0 0
BILL AMOUNT: ₹775.00
12 691.96 41.52 41.52 0
ROUND OFF: ₹0.00
18 0 0 0 0
PAYABLE AMOUNT: ₹775.00
28 0 0 0 0

For Compliance Purpose

Amount in Words: Rupees seven hundred and seventy-five only E.&.O.E.

All disputes related to this order are subject to the jurisdiction of courts at For: OM MEDICOS

Ahmedabad, Gujarat
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature

For Support Contact: care@1mg.com

Transit mode: By Road/Air

Bringing care to health

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