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Retail Invoice / Bill

Toll Free No.: 72007-12345 / Email: cs@netmeds.com

PLANET PHARMA WAREHOUSE PVT LTD Original for Recipient


BUILDING NO 7 Duplicate for Transporter
Triplicate for Supplier
FUNCTIONAL INDUSTRIAL ESTATE,
GSTIN : 07AADCP5633L1Z6
PATPARGANJ Drug Licence No : Form 20 - DL-PTG-108501
NEW DELHI - 110092 21 KA-B21-172361 Dated:16.10.2018

Invoice No : CS609-19-560925 Order No : 15789965599009292PSO1


Invoice Date : 16-01-2020 Delivery Man : XpressBees (Prepaid)

Patient Name : Mr/Mrs Dipanwita Sadhukhan


Doctor Name : Dr Kolkata port hospital
Customer GST No : -

Billing Address : Dipanwita Sadhukhan Shipping Address : Dipanwita Sadhukhan


36 Monilal Chatterjee Lane ,Oppo : Laxmi Grocery Store 36 Monilal Chatterjee Lane,
howrah, west bengal - 711103, India. Mobile: 9830917437 howrah, west bengal - 711103, India. Mobile: 9830917437
Place of supply (State Name) : west bengal Landmark : Oppo : Laxmi Grocery Store
Whether tax is payable on reverse charge basis : N

Disc Taxable IGST Total Amt


S.No. Mfr Description Of Goods HSN MRP Batch No Expiry Qty Rate Total
Amt Amt Rate Amt (incl. tax)

1 Intas P Pexep 40mg Tablet 10'S 3004 316.00 KY0566 02/21 3 282.14 846.42 169.28 677.14 12 81.26 758.39

2 Glenmar Maxrich Cream 150gm 3004 416.00 51190405 07/21 1 352.54 352.54 70.51 282.03 18 50.77 332.80

0% 5% 12% 18% 28% Total


IGST - - 81.26 50.77 - 132.02

Total Item : 2 Total Qty : 4 Sub Total : 1198.96


Discount Amount : (-)239.79
Rs. In Words: One Thousand Ninety One Rupees only Total Tax Amount : 132.03

PREPAID Grand Total : 1091.00

*** Your Total Savings: Rs.239.79 ***

Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.

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