PROFORMA INVOICE

Address
ORDER BOOKED BY
Pushkar Medical Agency, Bhandari Bhaiya ji
marg, sardar jaunpur UP:- 222001,,
Vikas Dubey

SHIP TO: Pushkar Medical Agency MARG ORDER NO.

MOB:- 9044336466
DL No.
JNP-20B/21B-550/550

GSTIN NO.: 09AXBPT8892K1ZH

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

N-ACETYLCYSTEINE INJECTION BP
1 N-TYLIN 2ML
200 MG/ML
50 50
WOPIME
2 1GM
CEFEPIME 1GM 50 275
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AUTHORISED SIGNATORY

PROFORMA INVOICE
Address
NAVATA MEDICALS
D. NO.:-9-63-15A, AMID STREET ISLAMPET, ORDER BOOKED BY
VIJA, State : 37, PIN CODE 520001
Anuj Gautam

SHIP TO: Navata Medicals MARG ORDER NO.

MOB:- 9246161673
DL No.:
20B&21B:-257/KR/AP/2010
37AWZPG9674P1Z1
GSTIN NO.:

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

 1 BMIXCIN B Polymyxin B 220

WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address
Dharmendar KR Mandal, S/O ANT Ram Mandal, ORDER BOOKED BY
Dhausahi, Wad 15, Barhi, Siswabarhi,
Madhubani, Bihar-847409 State: 10 10-Bihar Anuj Gautam

SHIP TO: Dharmendar KR Mandal MARG ORDER NO.

MOB:- 6200682133
Reg No.:
132118

PAN No.: DSJPM1260E

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 DROSONE HYDROCORTISONE 100 MG 20

2 CEFO-s Cefoperazone Sulbactam 20
WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address NAVATA MEDICALS
D. NO.:-9-63-15A, AMID STREET ISLAMPET,
VIJA, State : 37, PIN CODE 520001 ORDER BOOKED BY
Anuj Gautam
SHIP TO: Navata Medicals MARG ORDER NO.
MOB:- 9246161673
DL No.:
20B&21B:-257/KR/AP/2010
37AWZPG9674P1Z1
GSTIN NO.:
 Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 AZENOT AZTREONAM 1GM 10

WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address Dharma Pharma & surgicals
Railway road Hodal, district Palwal haryana Pin
Code.: 121106 ORDER BOOKED BY
Anuj Gautam
SHIP TO: Dharma Pharma & surgicals MARG ORDER NO.
MOB:- 9466243001
DL No.:
770960-OW/H

GSTIN NO.: 06AARFD1840J1ZB

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 K-CLOT vitamin k injection 1000

WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address M/S Babamoni Drug Distributor
Math Chowmuhani Agartala Agartala Pin
Code.: 799001 ORDER BOOKED BY
Anuj Gautam
SHIP TO: M/S Babamoni Drug Distributor MARG ORDER NO.
MOB:-
DL No.:
20/21B/TR/AGT/2883/2884
 GSTIN NO.: 16HBCPS3696Q1ZK

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 W-LINE 4ML CITICOLINE 4 ML 340

PIPERACILLIN & TAZOBACTAM
2 PICTAZ- 4.5
INJ WITH WATER & TRAY
500
3 TEMERO MEROPENEM 1 GM 100
URSODEOXYCHOLIC ACID TAB
4 GALLSAFE-300
300MG
20 Box

WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address M/S Babamoni Drug Distributor
Math Chowmuhani Agartala Agartala Pin
Code.: 799001 ORDER BOOKED BY
Anuj Gautam
SHIP TO: M/S Babamoni Drug Distributor MARG ORDER NO.
MOB:-
DL No.:
20/21B/TR/AGT/2883/2884

GSTIN NO.: 16HBCPS3696Q1ZK

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

Nutritive infusion of Pure Crystalline

1 AR-MIN
Amino Acid
200

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AUTHORISED SIGNATORY

PROFORMA INVOICE
Address G.A Pharma, 31-A 2nd floor, New Market, Opp.
Govt Field, Chakrota Road, Saharanpur (U.P.) -
247001
 G.A Pharma, 31-A 2nd floor, New Market, Opp.
Govt Field, Chakrota Road, Saharanpur (U.P.) - ORDER BOOKED BY
247001 Anuj Gautam
SHIP TO: G.A Pharma MARG ORDER NO.
MOB:- 9759879030
Reg No.: UP1120B000453/1121B000451

GST No.: 09AIAPA5889M1ZS

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 WONEXA TRANEXAMIC INJECTION 500

2 K-CLOT VITAMIN K INJECTION 100
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AUTHORISED SIGNATORY

PROFORMA INVOICE
Address
ORDER BOOKED BY
Piyush soni
SHIP TO: MARG ORDER NO.
MOB:-
Reg No.:

GST No.:

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

WISTIN -1
1 MIU
COLISTIMETHATE SODIUM 1MIU 10

WISTIN -2
2 MIU
COLISTIMETHATE SODIUM 2MIU 20

3
4
5
6
 7
8
9 WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY

PROFORMA INVOICE
Address Dharmendar KR Mandal, S/O ANT Ram Mandal,
Dhausahi, Wad 15, Barhi, Siswabarhi, ORDER BOOKED BY
Madhubani, Bihar-847409 State: 10 10-Bihar Anuj Gautam
SHIP TO: Dharmendar KR Mandal MARG ORDER NO.
MOB:- 6200682133
Reg No.:
132118

PAN No.: DSJPM1260E

Sr. No. PRODUCT COMPOSITION QTY. BATCH EXPIRY MRP

1 DROSONE HYDROCORTISONE 100 MG 40

2 CEFO-s Cefoperazone Sulbactam 20
CEFTRIAXONE SULBACTUM
RIONE-S 20
1.5GM
WOHLTAT LIFE SCIENCES

AUTHORISED SIGNATORY
 DATE : 08.03.2021

MODE OF DISPATCH
COURIER

PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

13 650 78

44 2200 264
AMOUNT 2850
DELIVERY 300
GST 12% 342
TOTAL 3492.00

DATE : 27.11.2020

MODE OF DISPATCH
COURIER

PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED
 202 44440

AMOUNT 44440
DELIVERY TO PAY
GST 12% 5333
TOTAL 49773.00

DATE : 28.11.2020

MODE OF DISPATCH
COURIER
India Post ( speed post)
PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

16 320
31 620
AMOUNT 940
DELIVERY 170
GST 90.4
TOTAL 1200.40

DATE : 27.11.2020

MODE OF DISPATCH
COURIER

PREFFERED BY
 RATE TO
LIST RATE BE VALUE
CHARGED

115 1150

AMOUNT 1150
DELIVERY
GST 12% 138
TOTAL 1288.00

DATE : 03.12.2020

MODE OF DISPATCH
COURIER

PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

6 6000

AMOUNT 6000
DELIVERY 390
GST 12% 720
TOTAL 7110.00

DATE : 11.12.2020

MODE OF DISPATCH
COURIER

PREFFERED BY
 RATE TO
LIST RATE BE VALUE
CHARGED

38 12920 1550.4
67 33500 4020
162 16200 1944
1120 22400 1120
7850
AMOUNT 87820 1120
DELIVERY TO PAY
GST 12% 8634.4
TOTAL 96454.40

DATE : 23.01.2021

MODE OF DISPATCH
COURIER

PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

150 130 26000

AMOUNT 26000
DELIVERY TO PAY
GST 12% 3120
TOTAL 29120.00
 DATE : 05.03.2021

MODE OF DISPATCH
COURIER
THE PUNJAB
PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

11 5500 275
6.5 650 78
AMOUNT 6150
DELIVERY TO PAY
GST 353
TOTAL 6503.00

DATE : 10.03.2021

MODE OF DISPATCH
COURIER
THE PUNJAB
PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

102 5500

650
 AMOUNT 6150
DELIVERY TO PAY
GST 353
TOTAL 6503.00

DATE : 06.08.2021

MODE OF DISPATCH
COURIER
India Post ( speed post)
PREFFERED BY

RATE TO
LIST RATE BE VALUE
CHARGED

16 320
31 620

27 540
64.8
AMOUNT 1480
DELIVERY 240
GST 178
TOTAL 1898.00