Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)
Sold By Sold To Invoice no.: C013662400956991
TATA 1MG HEALTHCARE SOLUTIONS PRIVATE LIMITED Patient Name: Shashti Ballabh Pant Date : 2024-07-11
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: Near lead bank GIC road, Order ID : PO19224064082506
Limited) Pithoragarh, Pithoragarh, Pithoragarh,
262501, In,
DL Number:
21B:UP1621B000408,21:UP16210001400,20B:UP1620B000411,20:UP16200001400 Place of supply: Uttarakhand
FSSAI License No: 12721055000745 Contact: 9997322603
GST: 09AAFCD7691C1ZH CIN: U24290DL2016PTC302634 Doctor name & address: Soma Pant
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
For Internal Purpose
SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Dapanorm 10 Tablet - 10 Alkem Laboratories 24441155 03/26 2 192.0 55.95 292.9 30049099 12 35.15 328.05
Ltd
2 Rozucor ASP 10 Capsule - 10 Torrent 0OBK5L017 02/26 2 108.3 29.63 166.94 30049099 12 20.03 186.97
Pharmaceuticals Ltd
3 Green Packaging Charge - OTH 1 0.00 1.23 998549 12 0.15 1.38
4 Handling Charges - OTH 1 0.00 0.98 998549 12 0.12 1.1
GST Taxable CGST SGST IGST TOTAL QUANTITY: 4 All disputes related to this For: TATA 1MG
% Amt order are subject to the HEALTHCARE
GROSS AMOUNT: ₹600.60 jurisdiction of courts at SOLUTIONS PRIVATE
0 0 0 0 0 Noida, Uttar Pradesh LIMITED
SHIPPING & VAS ₹2.48
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 462.05 0 0 55.45 DISCOUNT ₹85.58
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹517.50
28 0 0 0 0
ROUND OFF: ₹0.50 For Compliance Purpose
*All Values in (₹)
PAYABLE AMOUNT: ₹518.00
For Support Contact:
Amount in Words: Rupees five hundred and eighteen only [email protected] Bringing care to health
________________
E.&.O.E. Pharmacist Signature
Tax Invoice/Bill of Supply/Cash Memo (Original for Recipient)
Sold By Sold To Invoice no.: C013662400956992
TATA 1MG HEALTHCARE SOLUTIONS PRIVATE LIMITED Patient Name: Shashti Ballabh Pant Date : 2024-07-11
(formerly known as 1mg Healthcare Solutions Private Limited and Delhi Mediart Private Address: Near lead bank GIC road, Order ID : PO19224064082506
Limited) Pithoragarh, Pithoragarh, Pithoragarh,
262501, In,
DL Number:
21B:UP1621B000408,21:UP16210001400,20B:UP1620B000411,20:UP16200001400 Place of supply: Uttarakhand
FSSAI License No: 12721055000745 Contact: 9997322603
GST: 09AAFCD7691C1ZH CIN: U24290DL2016PTC302634 Doctor name & address: SOMA PANT
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
For Internal Purpose
SR. PRODUCT NAME MFR. Name BATCH NO. EXP. QTY MRP DISC TAXABLE HSN GST RATE GST AMT. TOTAL
DATE AMT. (₹) AMT. (₹) (%) (₹) AMT. (₹)
1 Cilacar-M 10/25 Tablet ER - 10 J B Chemicals and XT2524005 03/26 3 145.68 61.36 335.43 30049099 12 40.25 375.68
Pharmaceuticals Ltd
2 Sacuval 100 Tablet - 10 Alkem Laboratories 23440267 12/24 3 375.0 148.72 871.68 30049099 12 104.6 976.28
Ltd
3 Green Packaging Charge - OTH 1 0.00 3.23 998549 12 0.39 3.62
4 Handling Charges - OTH 1 0.00 2.59 998549 12 0.31 2.9
GST Taxable CGST SGST IGST TOTAL QUANTITY: 6 All disputes related to this For: TATA 1MG
% Amt order are subject to the HEALTHCARE
GROSS AMOUNT: ₹1562.04 jurisdiction of courts at SOLUTIONS PRIVATE
0 0 0 0 0 Noida, Uttar Pradesh LIMITED
SHIPPING & VAS ₹6.52
5 0 0 0 0 CHARGES: Computer Generated
Invoice.
12 1212.93 0 0 145.55 DISCOUNT ₹210.08
AMOUNT:
18 0 0 0 0
BILL AMOUNT: ₹1358.48
28 0 0 0 0
ROUND OFF: ₹-0.48 For Compliance Purpose
*All Values in (₹)
PAYABLE ₹1358.00
AMOUNT: For Support Contact:
[email protected] Bringing care to health
________________
Amount in Words: Rupees one thousand, three hundred and fifty-eight only Pharmacist Signature
E.&.O.E.
