Invoice no.
:
Tax Invoice/Bill of Supply/Cash Memo
01366N2301266425
(Duplicate)
Date : 2023-07-28
Order ID :
PO20823125736332
For Internal Purpose
Sold By Sold To
TATA 1MG HEALTHCARE SOLUTIONS PRIVATE Patient Name: alok kulshrestha
Address: 490,Main Shyam Park,Gali No.3
LIMITED near Natinal Public School, National Public
(formerly known as 1mg Healthcare Solutions Private Limited School, Ghaziabad, 201005, IN,
and Delhi Mediart Private Limited) Place of supply: Uttar Pradesh
DL Number: Contact: 7503262896
21B:UP1621B000408,21:UP16210001400,20B:UP1620B000411,2
0:UP16200001400 Doctor name & address:
FSSAI License No: 12721055000745
GST: 09AAFCD7691C1ZH
CIN: U24290DL2016PTC302634
Registered Address: Level 3, Vasant Square Mall, Pocket V,
Sector B, Vasant Kunj, New Delhi - 110070
Premise Address: WH-004, Sector-67, Gautam Buddha Nagar,
Noida, Uttar Pradesh, 201301, India
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 Dabur GlycoDab Dabur India SB0015 04/25 1 60 370.0 81.99 257.15 3004909 12 30.86 288.01
Tablet Ltd 9 9
2 Green Packaging 1 OTH 0.00 2.68 998549 12 0.32 3
Charge
GST% Taxable CGST (₹) SGST (₹) IGST (₹) TOTAL QUANTITY: 1
Amt (₹)
GROSS AMOUNT: ₹370.00
0 0 0 0 0
SHIPPING & VAS ₹3.00
5 0 0 0 0 CHARGES:
12 259.83 15.59 15.59 0 DISCOUNT AMOUNT: ₹81.99
18 0 0 0 0 BILL AMOUNT: ₹291.01
28 0 0 0 0 ROUND OFF: ₹-0.01
PAYABLE AMOUNT: ₹291.00
For Compliance Purpose
Amount in Words: Rupees two hundred and ninety-one only E.&.O.E.
All disputes related to this order are subject to the jurisdiction of courts at For: TATA 1MG HEALTHCARE SOLUTIONS PRIVATE LIMITED
Noida, Uttar Pradesh
Computer Generated Invoice. ____ ____ ____ ____
Pharmacist Signature
Transit mode: By Road/Air
Bringing care to health