Tax Invoice Number: C029-19-00127420

Original for Receipt

Keep the original invoice and barcode on medicines intact for returns

Sold By Bill To / Ship To (Patient)

BE WELL PHARMACY Order Id: 12550842
KARIMIREDDY VENKATA
8-1-523/228, Brindavan Colony, Behind Galaxy 2019-10-07
Theater, Tolichowki, Hyderabad - 500008
Order Date: DOOR NO:2/476,NAGARAJUPETA,
BELIDHARI STREET, , Cuddapah,
Invoice Date: 2019-10-11 Andhra Pradesh, 516001
DL Number TS/HYD/2018-39769(2023-09-11),
Doctor Not Applicable

GSTIN 36AATFB6503G1ZD POS : 37-Andhra Pradesh

S Description of Goods MFR/MKT HSN Code Qty Batch No Exp MRP Dis% GST % Amount

1 DEXORANGE CAP 30`S FRA 30045032 3 F19148 05/21 117.11 30.00 12.00 351.33

2 DEXORANGE SYP 200ML FRA 30045032 1 M19060 12/20 120.07 30.00 12.00 120.07

LUPIZYME PLUS PINEAPPLE 19046BA-SD

3 LUP 3004 2 11/20 114.00 30.00 12.00 228
FLAV SYP 200ML

4 DEXORANGE SYP 200ML FRA 30045032 5 E19208 12/20 120.07 30.00 12.00 600.35

Tax % IGST % IGST Amt.

Notes:
12.0% 12.0 97.5
18.0% 18.0 0

For BE WELL PHARMACY Total MRP Rs. 1,299.75

Name of the Total Item Discount Rs. 259.92

Pharmacist Shaik Ayesha
Order Discount Rs. 129.97
PR Number 129383/A1 Amount after Disc. Rs 909.86

Pharmacist Signature

(Rounded Off)
Note: Total savings Rs. 389.89 Total Invoice Amount Rs. 910

Amount In Words : Nine Hundred Ten Rupees only.

*Charges inclusive of GST (HSN - 9997)
Customer Acknowledgement: I,KARIMIREDDY VENKATA REDDY hereby recognise and accept the delivery of my order in full as prescribed
by my doctor. I acknowledge that the ordered medicines are for my own consumption and will not be used to sell to any third party until
specified for.
Thank You!
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For ordering medicines with us

Whether reverse charge is applicable - No

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