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Retail Invoice / Bill

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

HEALTHSCAPE TECHNOLOGY LLP Original for Recipient


FATASIL NONKE, Duplicate for Transporter
Triplicate for Supplier
KATABARI GARCHUK FATASIL ROAD, FATASIL,
GSTIN : 18AALFH7207B1ZK
KAMRUP METROPOLITAN, Drug Licence No : 20 - D/OL/KMP/16520
GUWAHATI - 781035 21 - D/OL/KMP/16521
20B - D/OL/KMP/19739

Invoice No : CS667-19-51941 Order No : 1567014505020290ASO1


Invoice Date : 29-08-2019 Delivery Man : Ecom Express (CoD)

Patient Name : Mr/Mrs SUBHAJIT PAUL PAUL


Doctor Name : Dr DR PRAVEEN N
Customer GST No : -

Billing Address : Subhajit Paul Paul Shipping Address : Subhajit Paul Paul
Ram Thakur Road Ram Thakur Sangha Ram Thakur Road Ram Thakur Sangha,
Agartala, West Tripura, Tripura , tripura - 799004, India. Mobile: Agartala, West Tripura, Tripura , tripura - 799004, India. Mobile:
8132800751 8132800751
Place of supply (State Name) : tripura 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 HETERO Levocet M Tablet 10'S 3004 77.90 GT19047A 12/21 2 69.55 139.10 34.78 104.33 12 12.52 116.84

2 MENARIN Dewderm AD Lotion 200gm 3304 424.00 BAL27 03/20 2 359.32 718.64 179.66 538.98 18 97.02 636.00

0% 5% 12% 18% 28% Total


IGST - - 12.52 97.02 - 109.54

Total Item : 2 Total Qty : 4 Sub Total : 857.74


Discount Amount : (-)214.44
Rs. In Words: Seven Hundred Fifty Three Rupees only Total Tax Amount : 109.54

COD Collectable Amount : 753 Grand Total : 753.00

*** Your Total Savings: Rs.214.44 ***

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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