Tax Invoice Invoice Number: C049-20-00140777

Original for Recipient

Keep the original invoice and barcode on medicines intact for returns

Sold By Bill To / Ship To (Patient)

M/S Laxmi Chemist Order Id: 18391930
Bhaskar De
670 Uttar Panchanna Gram, Paschmi Chowbhaga, Order Date: 2020-04-19 Radhanagar Lane, Ghurni, Near
First Floor, VIP Nagar, Tiljala, Kolkata
Haritala Baroari, , Krishnanagar, West
Invoice Date: 2020-04-22 Bengal, 741103
DL Number WB/KOL/NBO/R/277130(2024-10-24),
Doctor Name Not Applicable
WB/KOL/BIO/R/277130(2024-10-24),

GSTIN 19AAHFL1873B1ZE POS : 19-West Bengal

S No Description of Goods MFR/MKT HSN Batch No Exp MRP Discount Unit Price GST % Qty Amount

AGNA 10000 STRIP OF 10 GNA191107

1 DR 30049049 10/21 212.00 38.16 173.84 12.00 12 2,544
CAPSULES

Taxable Value SGST % SGST Amt. CGST % CGST Amt.

Notes:
1862.57 6.0 111.75 6.0 111.75
8.47 9.0 0.76 9.0 0.76
Total 1871.04 0.0 112.51 0.0 112.51

MRP Total 2,544

For M/S Laxmi Chemist PharmEasy Savings @ 18.0% -457.92
Name of the Subtotal 2086.08
Pharmacist Debabrata
Delivery Charges* 10.0
PR Number Rounding Off -0.08
A-15126

Pharmacist Signature

(Rounded Off)
Note: Total savings Rs. 458.00 Total Invoice Amount Rs. 2,096

Amount In Words : Two Thousand Ninety Six Rupees only.

*Charges inclusive of GST (HSN - 9997)
Customer Acknowledgement: I,Bhaskar De 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.
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Whether reverse charge is applicable - No

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