SIDDHI VINAYAK MEDICAL AGENCY TAX INVOICE CREDIT
MOB-9777760397., RAJA KHARIAR-766107 To SHIVA MEDICAL STORE
Dist NUAPADA,ODISHA Phone 9438736084, BELTUKRI,
D.L. No : SLNU 2132W,2133WC,2134WX, , BELTUKRI State : Odisha (21)
PAN : ALTPA8107A FSSAI : 12021025000022 GSTIN/UIN :PAN-APEPC1146E D.L. No. : SLNU-15540R,15541RC 15542RX
GSTIN : 21ALTPA8107A1ZP DrugsBazaar ID SIDRAJ000825 Invoice No. : SV-D006534 Date : 19/01/2025
IRN :
Sl.# MF HSN Product Name Packing Batch No [Link] MRP Rate Qty Disc. Taxable GST CGST SGST TOTAL
1. ALK 30049039 CERIZ-L TAB 10'S CLT24001MB 12/25 59.00 3.70 40 148.00 12.0 8.88 8.88 165.76
2. ALK 300410 CLAVAM 625 * 10'S 24442329 12/25 204.85 146.39 5+1 43.92 688.03 12.0 41.28 41.28 770.59
3. ALK 300490 SUMO COLD TAB * 10'S 24443134 08/27 49.50 35.36 10+2 21.22 332.38 12.0 19.94 19.94 372.26
4. AR 30049063 FLEXON MR TAB 10*10S DPD240746 03/27 28.70 20.50 10 12.30 192.70 12.0 11.56 11.56 215.82
5. CC 30049011 LAL TAIL 100ML 310 08/27 135.00 96.50 3 8.69 280.81 12.0 16.85 16.85 314.51
6. CC 30049011 LAL TAIL 50ML 50ML 961 07/27 70.00 51.50 6 9.27 299.73 12.0 17.98 17.98 335.69
7. IGM 30049039 IGMAPAN-DSR CAP * 20X10 PN3BC12 10/25 102.00 18.90 20 378.00 12.0 22.68 22.68 423.36
8. LI 30049099 ASTHAKIND P DROP 15ML A0FZX022 05/26 75.02 53.59 5+1 16.08 251.87 12.0 15.11 15.11 282.09
9. LI 30042019 GUDCEF 200MG TAB 10'S BSAKW218 11/25 180.29 128.78 1 27.91 100.87 12.0 6.05 6.05 112.97
10. LI 30042019 GUDCEF 200MG TAB 10'S B5AKW079 05/25 163.90 117.07 1 25.37 91.70 12.0 5.50 5.50 102.70
11. MA 30049099 NUFORCE GM OINT * 15GM K5ALX002 05/26 70.07 50.05 6+3 18.02 282.28 12.0 16.94 16.94 316.16
12. MA 30049099 VONALONG-20 TAB 10 TAB A3KAX002 06/26 150.00 107.14 3 19.29 302.13 12.0 18.13 18.13 338.39
13. MA 30049087 ACNESTAR GEL * 15GM K2AIX088 10/26 120.00 85.71 10+2 51.43 805.67 12.0 48.34 48.34 902.35
14. MD 30049099 CODISTAR-P DROP 15ML W3FZW004 06/25 69.90 49.93 5+1 14.98 234.67 12.0 14.08 14.08 262.83
15. MD 30049099 NUROKIND PLUS CAP * 6*10S D15X039 12/25 119.90 85.64 8 41.11 644.01 12.0 38.64 38.64 721.29
16. MD 30049099 NUROKIND PLUS CAP * 6*10S D15X046 01/26 119.90 85.64 2+2 10.28 161.00 12.0 9.66 9.66 180.32
17. MF 30049099 THERMOKIND F GEL 100GM G6IBX004 08/26 153.67 109.76 3 19.76 309.52 12.0 18.57 18.57 346.66
18. NIC 30049061 SARIDON TAB 10'S MH0390 06/26 50.00 35.71 21+1 37.50 712.41 12.0 42.74 42.74 797.89
19. PF 300450 BECOSULES CAPS * 20'S 2430052S 08/25 55.00 41.25 23+2 56.93 891.82 12.0 53.51 53.51 998.84
20. TO 300490 TORDEX SYP 100ML B19324034 09/26 110.00 29.00 24 696.00 12.0 41.76 41.76 779.52
21. US 30049099 GLYNASE-MF 10'S 04010481 10/25 20.35 14.54 20 14.54 276.26 12.0 16.58 16.58 309.42
22. VET 3004 MELONEX INJ * 100ML L4724121 07/26 125.00 89.29 5+1 22.32 424.13 12.0 25.45 25.45 475.03
23. VET 3004 MELONEX PLUS INJ * 100ML AD140 12/26 180.00 128.57 5+1 32.14 610.71 12.0 36.64 36.64 683.99
24. ZEE 300490 ZECIP-D E/E DROP 10ML PCS Z23-901 07/25 55.00 8.90 10 89.00 12.0 5.34 5.34 99.68
25. ZG 30049011 ENO(ORANGE) SACHET 30'S 137 03/26 10.00 7.50 +2 12.0
26. ZG 300490 OTRIVIN FAST RELIEF SPARY * 10ML PX24045 07/27 117.30 89.00 2 7.12 170.88 12.0 10.25 10.25 191.38
27. ZU 30049069 MAHANAC MR TAB * 20*10'S SCZAL24039 05/27 143.30 14.50 60 870.00 12.0 52.20 52.20 974.40
28. ZZZ 30049011 HADENSA 40GM * 40GM 6171 05/29 150.00 107.14 2 8.57 205.71 12.0 12.34 12.34 230.39
29. ZZZ 30049011 PETSAFFA AYURVEDIC CHURNA* 100GM PSF-887 06/27 115.00 89.00 7 31.15 591.85 12.0 35.51 35.51 662.87
30. aim 30049011 AMYRON SYP 200ML * 200ML NARS-593-H 08/27 218.00 153.77 10+3 92.26 1445.44 12.0 86.73 86.73 1,618.90
31. alk 30049087 PROVIDIP POWDER 10GM PVP24001NP 08/27 70.00 11.00 4 44.00 12.0 2.64 2.64 49.28
32. m. 30049033 RANIDOM-PD SYP 100ML J9ALX042 08/25 91.37 65.26 1 3.92 61.34 12.0 3.68 3.68 68.70
33. nic 300490 CALADRYL LOTION 60ML 060 05/26 73.00 57.12 4 6.85 221.63 12.0 13.30 13.30 248.23
34. nic 300490 CALADRYL LOTION 60ML CAZD070 05/26 67.00 51.57 1 1.55 50.02 12.0 3.00 3.00 56.02
35. ran 30049099 BECTODINE SOLUTION 100ML ZCB0052 05/26 48.16 25.00 6 150.00 12.0 9.00 9.00 168.00
36. shi 30049099 GYLIS 80M TAB 10'S 03G23T01 06/25 62.55 44.68 10+1 26.81 419.99 12.0 25.20 25.20 470.39
37. tor 30049099 EMSCAB PLUS LOTION * 50ML EF094 10/26 55.88 25.50 2 51.00 12.0 3.06 3.06 57.12
38. tor 30049039 UVNIL MONT KID SUSP * 30ML BANE0004 10/26 47.65 16.50 25 412.50 12.0 24.75 24.75 462.00
403 681.29 13898.06 833.87 833.87 15,565.80
39. MD 21069099 HEALTH OK SACHET * 6*5GM 1AAIX168 02/26 36.00 24.41 11+1 16.11 252.40 18.0 22.72 22.72 297.84
40. MD 34011110 NUFORCE SOAP * 75GM A4IBX014 06/27 119.79 81.21 4 19.49 305.35 18.0 27.48 27.48 360.31
41. lee 33049990 OLIGRO OIL LEEFORD 100ML BLDP4005 05/27 175.00 66.00 4 264.00 18.0 23.76 23.76 311.52
Contd.... 2
Total Units : 41/423
CHKD BY STOCK BY Compitent Person
[Link] - Dolphin Computers, Bhubaneswar Ph.0674-2361185, 8895835347,8895835457, 9437065987 A 19/01/2025 [Link] PM MITHUN
SIDDHI VINAYAK MEDICAL AGENCY TAX INVOICE Page No. 2 CREDIT
MOB-9777760397., RAJA KHARIAR-766107 To SHIVA MEDICAL STORE
Dist NUAPADA,ODISHA Phone 9438736084, BELTUKRI,
D.L. No : SLNU 2132W,2133WC,2134WX, , BELTUKRI State : Odisha (21)
PAN : ALTPA8107A FSSAI : 12021025000022 GSTIN/UIN :PAN-APEPC1146E D.L. No. : SLNU-15540R,15541RC 15542RX
GSTIN : 21ALTPA8107A1ZP DrugsBazaar ID SIDRAJ000825 Invoice No. : SV-D006534 Date : 19/01/2025
IRN :
Sl.# MF HSN Product Name Packing Batch No [Link] MRP Rate Qty Disc. Taxable GST CGST SGST TOTAL
42. t.i 330499 KOJICID GEL 15GM BCC4506 07/26 150.00 41.00 5 205.00 18.0 18.45 18.45 241.90
25 35.60 1026.75 92.41 92.41 1,211.57
43. LEE 09021020 GREEN TEA ELAICHI MATCHA BOX LGTS-222 01/26 250.00 125.00 2 250.00 5.0 6.25 6.25 262.50
44. tal 30029030 ACCURATE PREG CARD 50'S HCG2512232 12/25 80.00 8.00 50 400.00 5.0 10.00 10.00 420.00
52 650.00 16.25 16.25 682.50
NO BILLING AFTER 60 DAYS ANY COMPNAY Net Amount: 17,460.00
5% GST : 650.00 CGST : 16.25 SGST : 16.25, 12% GST : 13,898.06 CGST : 833.87 SGST : 833.87, 18% GST : 1,026.75 CGST : 92.41 For SIDDHI VINAYAK MEDICAL AGENCY
SGST : 92.41, Discount 18.78 HSN : 090210 | Q :2, R : 5%, A : 250.00 C : 6.25 S : 6.25,210690 | Q :12, R : 18%, A : 252.40 C : 22.72 S :
Rupees Seventeen Thousand Four Hundred Sixty Only
Total Units : 44/480 [Link] (0) Previous Balance from 21/12/24 29 Days : 44,113.00
E.&.O.E. * NB : This registration certificate is valid on the date of this invoice * Net amount is Rounded off * We do here by give the
warranty that the above goods sold by us do not contravene in any way the provisions of section 18 of the Drugs & Cosmetic Act.1940.
BANK OF INDIA A/c-535930110000009 IFSC-BKID0005359
CHKD BY STOCK BY Compitent Person
[Link] - Dolphin Computers, Bhubaneswar Ph.0674-2361185, 8895835347,8895835457, 9437065987 A 19/01/2025 [Link] PM MITHUN