Tax Invoice

Madan & Brothers GSTIN No : 09BCIPS0958Q1ZM Phone : 7505473734

S3/260A Ardali Bazar
City : VARANASI FSSAI No : 12715038000561
Ardali bazar varanasi
GST State : Uttar Pradesh-09 Invoice Status : Delivered
XXXX
Pin Code : 221002 IRN :
SOLD TO / PLACE OF SUPPLY Retailer Code : 0020038475 PO No :
VANSHIKA CHILDREN HOSPITAL Mobile/Phone : 9999999999 Inv No & Date : MNB0014910 & 28-01-2024
ORDERLY BAZAR DL Number : AFC/ISR Name & Mob : Hospital-9999999999
XXXX XXXX GSTIN No : Beat Name : Hospital
VARANASI - Uttar Pradesh - 09 FSSAI No : Program Name : Non Program Outlet

S.No HSN Code Product Short Name Batch No. Exp Date MRP Qty F.Qty Rate Gross Amt DB Disc Sch. Amt Taxable CGST SGST/UTGST IGST Net Value

1 21069099 PES ADV VAN 400 BIB 54005MN1 11/24 915 58 6 705.64 40,927.12 0.00 0.00 40,927.12 9.0% 9.0% 0.0% 48,294.00
2 19011090 PES ML2 CHO 200 BIJ 56051MN1 02/25 455 66 6 350.89 23,158.74 0.00 0.00 23,158.16 9.0% 9.0% 0.0% 27,327.31
Sub Total: 102 10 56,366.28 0.00 0.00 56,366.28 66,512.21

*********Tax Summary ******** Cash Disc Amt(-) 0.00 Gross Amount 64,085.86
Scheme Disc Amt(-) 0.00 Total Deduction (-) 0.00
Taxable CGST% SGST/UTGS IGST% CGST Amt SGST/UTGS IGST Amt Cess% Cess Amt TCS% TCS Amt CGST/SGST/IGST 11,535.45
Line Disc (-) 0.00
64085.86 9.00 9.00 0.00 5767.73 5767.73 0.00 0.00 0.00 0.000 0.000
HC 0.00 TCS Amount 0.00
Total 64085.86 5767.73 5767.73 0.00 0.00 0.00 Total Deduction 0.00 CN/DN Adj (+/-) 0.00
Program Payout (-) 0.00
Round Off (+/-) 0.31
Net Amount 75,621.00
Remarks : T : 0.00 A : 0.00 B : 0.00
Payout Narraton & CN No. : & For : Madan & Brothers

In Words : SEVENTY FIVE THOUSAND SIX HUNDRED TWENTY ONE ONLY

Declaration :
Authorised Signature

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