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Tax Invoice

Netmeds CS Number: 72007-12345 / Email: [email protected]

RELIANCE RETAIL LIMITED Original for Recipient


SY NO.133/137,UNIT NO.B-1,LG LEVEL Duplicate for Transporter
INDOSPACE BOMMASANDRA LOGISTICS PARK, Triplicate for Supplier
RAJAPURA VILLAGE,JIGANI HOBLI,ANEKAL TALUK, GSTIN : 29AABCR1718E1ZL
BANGALORE - 562106 PAN : AABCR1718E
STATE CODE: 29, KA Drug Licence No : KA-B62-209707-20 & KA-B62-209708-21
KA-B62-209710-21B & KA-B62-209709-20B
FSSAI 11221302000902

Invoice No : CSSF40230076990 Order No : 16854238059008951WSO1


Invoice Date : 02-07-2023 Delivery Man : Bdart (Prepaid)

Doctor Name : Dr SHREERAM KUMAWAT Patient Name : Mr/Mrs JIGNA RAJIV SAVLA

Billing Address : JIGNA RAJIV SAVLA Shipping Address : JIGNA RAJIV SAVLA

H.NO. 1-98/6/21, PLOT NO. 21, JAI HIND ENCLAVE, H.NO. 1-98/6/21, PLOT NO. 21, JAI HIND ENCLAVE,

Lane opp Dena Bank, Hyderabad- 500081,India Lane opp Dena Bank, Hyderabad- 500081,India

Mobile: 7623992563 Mobile: 7623992563

Place of supply (State Name) : TELANGANA - 36 Whether tax is payable on reverse charge basis : N

State Code: 36, TS

Disc Taxable IGST Total Amt


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

Durex Condoms - Real


1 Durex 40141010 508 BXJL2N1 08/24 15 82.00 1230.00 322.88 907.12 12 108.85 1015.97
Feel
Herbalife Personalized
2 Herbalife 30045020 1185 SID2350A 02/25 12 1185.00 14220.00 2346.3 11873.7 12 1424.84 13298.54
Protein Powder
NUTRILITE DAILY
3 Nutrilite 30045020 1449 313505ID 09/24 14 1149.00 16086.00 5071.5 11014.5 12 1321.74 12336.24
TABLET 60'S

0% 5% 12% 18% 28% Total


IGST - - 2855.44 - - 2855.44

Total Item : 3 Total Qty : 41 Sub Total : 31536.00


Discount Amount : -7740.68
Total Taxable Amount : 23795.32
Rs. In Words: Twenty-Six Thousand Six Hundred Fifty-One Rupees only Total Tax Amount : 2855.44
Round Off : 0.24
Paid by : juspay / PHONEPE-2023-07-02 10:47:31.000 Grand Total : 26651.00

*** Your Total Savings: Rs.7740.68 ***

R.P. Signature
Declaration :
We Declare that this Invoice shows the actual price of the Goods described and that all particulars are true and correct.
Registered Office- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Tala, Mumbai-400002 Phone-+91-22 67673800
CIN -U01100MH1999PLC120563 PAN- AABCR1718E Website- www.relianceretail.com Toll-18001027382 [email protected]

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