TAX INVOICE Page 1 of 3 ORIGINAL FOR RECIPIENT

CIPLA LTD PATNA (REGIONAL) Bill To Party ( POS ) : Ship to Party: Invoice No. : 6060065141
B BLOCK, KOHINOOR COMPLEX GAURAV MEDICO GAURAV MEDICO Invoice Date : 11-11-24
BESIDES SHALIMAR COLD STORAGE THANA ROAD THANA ROAD Ord. Ref. No.: RASHMI/MAIL
ANISABAD GHORASAHAN (BIHAR) GHORASAHAN (BIHAR) Ord. Ref. Date: 11-11-24
PATNA,PATNA 800002 GHORASAHAN GHORASAHAN Due Date : 02-12-24
GSTIN:10AAACC1450B1ZT DIST E CHAMPARAN DIST E CHAMPARAN Chq. to be Deposited on : 02-12-24
PAN NO: AAACC1450B GHORASAHAN 845303 GHORASAHAN 845303 E Way Bill :
06250-84505 06250-84505 E Way Bill Date:
STATE : Bihar STATE CODE : 10 STATE : Bihar STATE CODE : 10
GSTIN / UIN : 10AGZPJ1087H1Z9 GSTIN / UIN : 10AGZPJ1087H1Z9
PAN No : AGZPJ1087H PAN No : AGZPJ1087H
Drug License Numbers
20B:PAT-276/2012
21B:PAT-276A/2012 Drug Licence Numbers Drug Licence Numbers Dispatch Details
20G:PAT-276D/2012 20 B:154830 20 B : 154830 Carrier Name: ASHOKE TRANSPORT AGENCY
FSSAI - 10417000000116 21 B:154831 21 B : 154831 PVT LT IRN : 3cc7fb8f44e4d65f3d31c03772f60e99e3fabda
FSSAI - 10417070000105 FSSAI - 10417070000105 LR No / Dt : 2d65a104e768677331e7c208d
Destn : SITAMARHI
Mfg Cat HSN No. Batch Expiry Case Box Loose Retail Product Description Pack Price to Billed Price To Base Discount Taxable SGST CGST
Cd. Number Date Qty Price Retailer Qty. Stockist Value Rate Amt. Value Rate Amt. Rate Amt.
New Products:
VOLTIDO 100 ROTACAPS 100/25 MCG (30S) , ALZACOX 90MG (IP) 10'S TABLETS , ALZACOX 60MG (IP) 10'S TABLETS , CEFBACT ES -3 GM , IBUGESIC SUSPENSION 100 ML (IP) ,
** Group **CRESTA
CP N 30049099 4SN1027 04/27 1 210.89 ACIVIR 800 DT #$ 5 TAB 150.64 10 135.57 1355.70 0.00 0.00 1355.70 6 81.34 6 81.34
CP S 30049099 4SN1359 06/27 1 152.99 Acivir 400 DT Tablets 1X10s 10 TAB 109.28 50 98.35 4917.50 0.00 0.00 4917.50 6 295.05 6 295.05
GC N 30049069 4SE0623 07/27 1 43.38 IBUGESIC PLUS SUSP 60 ML 60 ML 30.99 180 27.89 5020.20 10.00 502.02 4518.18 6 271.09 6 271.09
** Group **INSPIRA
TM S 30049091 AHN23008 08/25 1 57 115.13 ASTHALIN AX 100ML SYRUP 100 ML 82.24 117 74.01 8659.17 16.67 1,443.48 7215.69 6 432.94 6 432.94
TM S 30049091 AHN23007 07/25 3 115.13 ASTHALIN AX 100ML SYRUP 100 ML 82.23 3 74.01 222.03 16.67 37.01 185.02 6 11.10 6 11.10
CP S 30042064 4SN1050 03/27 2 78.28 AZEE 250 TABLETS 6'S #$ 6 TAB 55.91 120 50.32 6038.40 10.00 603.84 5434.56 6 326.07 6 326.07
CP S 30042064 4SN1700 07/27 2 131.99 AZEE 500 TABLETS 5'S #$ 5 TAB 94.28 120 84.85 10182.00 10.00 1,018.20 9163.80 6 549.83 6 549.83
TM N 30042064 AZB24003 01/26 1 57.28 Azee Liquid 200 mg/5ml (15ml) 15 ML 40.91 160 36.82 5891.20 10.00 589.12 5302.08 6 318.12 6 318.12
#$
** Group **Neb Misc
CP N 30049091 4L80623 05/27 30 7.77 ASTHALIN RESPULES 2.5 ML 2.5 ML 5.55 1200 5.00 6000.00 0.00 0.00 6000.00 6 360.00 6 360.00
** Group **Nexura
CP N 30042034 4A60449 05/26 2 85.00 OFLOX 50 REDIUSE 60ML 60 ML 60.71 20 54.64 1092.80 0.00 0.00 1092.80 6 65.57 6 65.57
** Group **OPTIMUS
CP S 30049091 4SA1097 03/27 1 10.58 ASTHALIN 4 MG TABLETS 1 X 1 X 45'S 7.56 960 6.80 6528.00 0.00 0.00 6528.00 6 391.68 6 391.68
45'S #$
CP S 30049091 4A60518 06/26 1 20.16 ASTHALIN SYP 100 ML #$ 100 ML 14.40 120 12.96 1555.20 0.00 0.00 1555.20 6 93.31 6 93.31
CP N 30049039 4BA1655 07/26 1 59.32 CIPLACTIN TABS 15'S 15'S 42.37 100 38.13 3813.00 10.00 381.30 3431.70 6 205.90 6 205.90
SK N 30042031 STC24175 06/26 1 47.50 NORFLOX 200 TAB (WITH LACTIC 10 TAB 33.93 70 30.54 2137.80 0.00 0.00 2137.80 6 128.27 6 128.27
ACID BACILLUS)
** Group **Resp Neb 1
CP S 30043200 4SN0846 04/26 15 26.65 BUDECORT RESPULES 0.5MG #$ 2 ML 19.04 600 17.13 10278.00 15.00 1,541.70 8736.30 6 524.18 6 524.18
CP N 30049099 4SA1159 04/27 2 33.00 INHALEX RESPULES 2 ML 23.57 80 21.21 1696.80 0.00 0.00 1696.80 6 101.81 6 101.81
CP N 30049091 4L80771 06/26 10 5.94 LEVOLIN 0.31 RESPULES 2.5 ML 4.24 400 3.82 1528.00 0.00 0.00 1528.00 6 91.68 6 91.68
CP N 30049091 4L80522 04/26 10 7.16 LEVOLIN 0.63 MG RESPULES 2.5 ML 5.11 400 4.60 1840.00 0.00 0.00 1840.00 6 110.40 6 110.40
** Group **Resp Neb 2
CP N 30049099 4SA1928 07/26 2 53.14 BUDESAL 0.5 RESPULES 2ML 2 ML 37.96 80 34.16 2732.80 10.00 273.28 2459.52 6 147.57 6 147.57
CP S 30049099 4SN1437 06/26 15 24.94 DUOLIN 3 RESPULE 8X5X3 17.81 600 16.03 9618.00 7.50 721.35 8896.65 6 533.80 6 533.80
ML
** Group **RESP TEAM 2
CP S 30049099 4IB0856 07/27 1 447.55 FORACORT 200 CFC FREE INH 1X120 MD 319.68 10 287.71 2877.10 0.00 0.00 2877.10 6 172.63 6 172.63
WITH DOSE COUNTER 30'S #$
CP S 30049099 4BA1282 06/26 4 192.19 FORACORT 200 ROTACAPS #$ 30 CAP 137.28 40 123.55 4942.00 0.00 0.00 4942.00 6 296.52 6 296.52
CP S 30049099 4SN1690 07/27 1 510.72 FORACORT 400 CFC FREE INH 1X120 MD 364.80 10 328.32 3283.20 0.00 0.00 3283.20 6 196.99 6 196.99
WITH DOSE COUNTER 120MD #$
CP S 30043200 4SA1569 05/26 4 233.52 FORACORT 400 ROTACAPS #$ 30 CAP 166.80 40 150.12 6004.80 0.00 0.00 6004.80 6 360.29 6 360.29
CP S 30049099 4BA0792 10/25 6 359.85 TIOVA ROTACAPS 30 Capsules 30 CAP 257.04 60 231.33 13879.80 0.00 0.00 13879.80 6 832.79 6 832.79
#$
114982.20

COMPUTER GENERATED OUTPUT online payment- https://webfront.payu.in/webfront/#/merchantinfo/46 P.T.O

CIPLA Ltd.Regd.Office :Cipla House Peninsula Business Park,Ganpatrao Kadam Marg,Lower Parel-Mumbai-400013|Phone +91 22 24826000|Fax +91 22 24826120|Website www.cipla.com|Email contactus@cipla.com|CIN : L24239MH1935PLC002380
 TAX INVOICE Page 2 of 3 ORIGINAL FOR RECIPIENT
CIPLA LTD PATNA (REGIONAL) Bill To Party ( POS ) : Ship to Party: Invoice No. : 6060065141
B BLOCK, KOHINOOR COMPLEX GAURAV MEDICO GAURAV MEDICO Invoice Date : 11-11-24
BESIDES SHALIMAR COLD STORAGE THANA ROAD THANA ROAD Ord. Ref. No.: RASHMI/MAIL
ANISABAD GHORASAHAN (BIHAR) GHORASAHAN (BIHAR) Ord. Ref. Date: 11-11-24
PATNA,PATNA 800002 GHORASAHAN GHORASAHAN Due Date : 02-12-24
GSTIN:10AAACC1450B1ZT DIST E CHAMPARAN DIST E CHAMPARAN Chq. to be Deposited on : 02-12-24
PAN NO: AAACC1450B GHORASAHAN 845303 GHORASAHAN 845303 E Way Bill :
06250-84505 06250-84505 E Way Bill Date:
STATE : Bihar STATE CODE : 10 STATE : Bihar STATE CODE : 10
GSTIN / UIN : 10AGZPJ1087H1Z9 GSTIN / UIN : 10AGZPJ1087H1Z9
PAN No : AGZPJ1087H PAN No : AGZPJ1087H
Drug License Numbers
20B:PAT-276/2012
21B:PAT-276A/2012 Drug Licence Numbers Drug Licence Numbers Dispatch Details
20G:PAT-276D/2012 20 B:154830 20 B : 154830 Carrier Name: ASHOKE TRANSPORT AGENCY
FSSAI - 10417000000116 21 B:154831 21 B : 154831 PVT LT IRN : 3cc7fb8f44e4d65f3d31c03772f60e99e3fabda
FSSAI - 10417070000105 FSSAI - 10417070000105 LR No / Dt : 2d65a104e768677331e7c208d
Destn : SITAMARHI
Mfg Cat HSN No. Batch Expiry Case Box Loose Retail Product Description Pack Price to Billed Price To Base Discount Taxable SGST CGST
Cd. Number Date Qty Price Retailer Qty. Stockist Value Rate Amt. Value Rate Amt. Rate Amt.
** Group **Resp Team 3
CP S 30049091 4IB0783 07/26 2 176.98 ASTHALIN INHALER WT DC 1 X 200 126.41 40 113.77 4550.80 0.00 0.00 4550.80 6 273.05 6 273.05
200MD 1'S #$ MD
CP S 30049091 4SA1755 06/27 5 63.29 ASTHALIN ROTACAPS 60 CAPS 60 CAP 45.21 50 40.69 2034.50 0.00 0.00 2034.50 6 122.07 6 122.07
CP N 30049099 4BA1482 07/26 1 238.52 DUOLIN ROTACAPS 60 CAP 60 CAP 170.37 10 153.33 1533.30 0.00 0.00 1533.30 6 92.00 6 92.00
** Group **Resp Team 4 INH
CP N 30049099 4SN1724 08/26 3 301.14 AEROCORT INHALER 200 MD 215.10 60 193.59 11615.40 0.00 0.00 11615.40 6 696.92 6 696.92
CP N 30049099 4SA1491 11/25 10 125.78 AEROCORT ROTACAPS 100 MCG 1 X 60'S 89.84 100 80.86 8086.00 0.00 0.00 8086.00 6 485.16 6 485.16
** Group **UROLOGY TEAM 1
CP N 30049099 4GH0399 05/26 1 607.22 URIMAX-D TABLETS 15S Blister 1 X 15'S 433.73 10 390.36 3903.60 0.00 0.00 3903.60 6 234.22 6 234.22
pack
** Group **Vitalis Ascend
CP N 30049079 4BA1714 07/26 1 147.57 CRESAR AM TABLETS 15#S IP 15 TAB 105.41 10 94.87 948.70 0.00 0.00 948.70 6 56.92 6 56.92
** Group **WOMENS HEALTH
CP S 30043990 4GH0512 01/26 1 84.98 MISOPROST 200 MCG #$ 4 TAB 60.70 20 54.63 1092.60 10.00 109.26 983.34 6 59.00 6 59.00
CP S 30043990 4GH0512 01/26 1 84.98 MISOPROST 200 MCG #$ 4 TAB 60.70 20 54.63 1092.60 10.00 109.26 983.34 6 59.00 6 59.00
** Group **Xterna Pride
CP S 30049029 4SA1294 04/27 3 78.22 FORCAN 200 TABLETS 4S #$ 4 TAB 55.87 90 50.28 4525.20 0.00 0.00 4525.20 6 271.51 6 271.51
CP N 30049029 4SA2015 07/27 4 43.36 FORCAN 50 TABLETS 4S #$ 4 TAB 30.97 200 27.87 5574.00 0.00 0.00 5574.00 6 334.44 6 334.44
** Group **ZESTA
MD S 30041030 KP30432 11/25 3 52.41 NOVAMOX 250 REDIUSE 30ML 30 ML 37.44 30 33.69 1010.70 10.00 101.07 909.63 6 54.58 6 54.58
#$
MD S 30041030 4KP0245 07/26 2 104.83 NOVAMOX 250 REDIUSE 60ML 60 ML 74.88 20 67.39 1347.80 10.00 134.78 1213.02 6 72.78 6 72.78
#$
MD S 30049087 4KP0027 08/25 4 67.87 NOVAMOX CV DRY SYP #$ 30 ML 48.48 40 43.63 1745.20 16.67 290.92 1454.28 6 87.26 6 87.26
MD N 30041030 4KP0144 11/25 1 71.73 NOVAMOX DROPS 10 ML 51.24 180 46.11 8299.80 10.00 829.98 7469.82 6 448.19 6 448.19
MD N 30041030 4KP0079 03/26 1 74.39 NOVAMOX REDIUSE DROPS 10 ML 53.14 180 47.82 8607.60 10.00 860.76 7746.84 6 464.81 6 464.81
MD S 30041030 4KO0354 06/26 3 40.99 NOVAMOX-250 CAPSULES 15S 15 CAP 29.28 150 26.35 3952.50 10.00 395.25 3557.25 6 213.44 6 213.44
#$
Pending Items:
VALPARIN 200 SYRUP 200 ML (IP) 40 ,
Credit / Debit Note Adjustment Details-
DN Adj
CN Adj 6061808629

CP represents CIPLA LTD ; GC represents GOLDEN CROSS PHARMA PVT LTD ; MD represents MEDISPRAY LABORATORIES PVT LTD ;
SK represents SHIVALIK REMEDIES PVT. LTD., UNIT I ; TM represents TIRUPATI MEDICARE LIMITED ;
# Stands for DPCO Product.
-F Stands for Quantity Discount
#$ - Revised FORM - V has been sent to you. Kindly forward the same to all your Customers/Chemists and inform them to sell the Products as indicated in FORM - V.
For Sale in India and not for Export
192013.80 9942.58

COMPUTER GENERATED OUTPUT online payment- https://webfront.payu.in/webfront/#/merchantinfo/46 P.T.O

CIPLA Ltd.Regd.Office :Cipla House Peninsula Business Park,Ganpatrao Kadam Marg,Lower Parel-Mumbai-400013|Phone +91 22 24826000|Fax +91 22 24826120|Website www.cipla.com|Email contactus@cipla.com|CIN : L24239MH1935PLC002380
 TAX INVOICE Page 3 of 3 ORIGINAL FOR RECIPIENT
CIPLA LTD PATNA (REGIONAL) Bill To Party ( POS ) : Ship to Party: Invoice No. : 6060065141
B BLOCK, KOHINOOR COMPLEX GAURAV MEDICO GAURAV MEDICO Invoice Date : 11-11-24
BESIDES SHALIMAR COLD STORAGE THANA ROAD THANA ROAD Ord. Ref. No.: RASHMI/MAIL
ANISABAD GHORASAHAN (BIHAR) GHORASAHAN (BIHAR) Ord. Ref. Date: 11-11-24
PATNA,PATNA 800002 GHORASAHAN GHORASAHAN Due Date : 02-12-24
GSTIN:10AAACC1450B1ZT DIST E CHAMPARAN DIST E CHAMPARAN Chq. to be Deposited on : 02-12-24
PAN NO: AAACC1450B GHORASAHAN 845303 GHORASAHAN 845303 E Way Bill :
06250-84505 06250-84505 E Way Bill Date:
STATE : Bihar STATE CODE : 10 STATE : Bihar STATE CODE : 10
GSTIN / UIN : 10AGZPJ1087H1Z9 GSTIN / UIN : 10AGZPJ1087H1Z9
PAN No : AGZPJ1087H PAN No : AGZPJ1087H
Drug License Numbers
20B:PAT-276/2012
21B:PAT-276A/2012 Drug Licence Numbers Drug Licence Numbers Dispatch Details
20G:PAT-276D/2012 20 B:154830 20 B : 154830 Carrier Name: ASHOKE TRANSPORT AGENCY
FSSAI - 10417000000116 21 B:154831 21 B : 154831 PVT LT IRN : 3cc7fb8f44e4d65f3d31c03772f60e99e3fabda
FSSAI - 10417070000105 FSSAI - 10417070000105 LR No / Dt : 2d65a104e768677331e7c208d
Destn : SITAMARHI

RUPEES ONE LAKH EIGHTY FOUR THOUSAND SIX HUNDRED TWENTY EIGHT ONLY MRP IS INCLUSIVE OF TAXES TOT BEF CASH DISC 182071.22
Delivery Numbers: 05297730 Rate SGST CGST CASH DISCOUNT 0.00
TERMS & CONDITIONS (1) Payment is requested by crossed cheque / Demand Draft only drawn in favor of CIPLA LTD. Payment by Cheque is subject to realiz Taxable Amt. Tax Taxable Amt. Tax TAXABLE VALUE 182071.22
ation. (2) Invoice, if not paid/retired on or before the due date will be attract interest @ 18% p.a and will be subjected GST levy. (3) Any payment m 6 182071.22 10924.28 182071.22 10924.28 ADD : GST TAXES 21848.56
ade against this invoice shall be treated as "on account" unless the full value of this invoice is paid, not with standing that the payment is purport TCS @ 0.00
ed to be made in full settlement. (4) Payment against dishonored cheque will be accepted strictly by demand draft only. Service charge of Rs. 500/- pl
us GST levy per dishonored cheque, irrespective of the amount of the cheque, will be applicable. If the payment against the dishonored cheque and the DEBIT NOTE 0.00
service charge of Rs. 500/- plus GST levy is not received within three days of the advice of the dishonored cheque, interest @ 18% p.a plus GST shall LESS : ADVANCE 0.00
be charged from the date of delivery of goods till receipt of payment, as mentioned in clause no.2 above. (5) The Price to Retailer (PTR) and the Reta CREDIT NOTE -19292.00
il Price (RP) is indicated for information only, without any legal binding or liability on us. (6) Any overcharge / undercharge will be refunded / rec Whether the Tax is payable on reverse charge basis -(Yes / No) PAISE R/O ADJ. 0.22
overed. (7) Prices and terms of sale are subject to change without any notice. Prices and terms prevailing on the date of invoice shall be applicable.
(8) Goods are sold on an understanding that buyers are holding all requisite food & drug license and GST registration, which are valid and subsisting
Total Cases O R T
7 7 NET TO PAY 184628.00
. (9) Short Receipts, if any, should be noticed immediately on delivery and in any case not later than three days for outstation and one day for local
consignments from the date of delivery. Insist on open delivery if cases are received in damaged condition. obtain Shortage certificate from the tran Chq./DD No. / Date For CIPLA Limited
sporter for any discrepancies in receipt. (10) All disputes are subject to Mumbai Jurisdiction.
STATUTORY DECLARATIONS We hereby certify that,(a) The medical preparations supplied under this invoice do not in way contravene the provisions of the Packed By / Dt. Checked By / Dt.
section 18 of the Drug & Cosmetics Act, 1940.(b) Food (if any) mentioned in this invoice is warranted to be of the nature and quality which it purpor
ts to be. (c) Our registration certificate under the GST Act is in force on date and the transaction of the same covered by this invoice has been affe
cted by us in the regular course of our business. Authorised Signatory
COMPUTER GENERATED OUTPUT online payment- https://webfront.payu.in/webfront/#/merchantinfo/46 P.T.O
CIPLA Ltd.Regd.Office :Cipla House Peninsula Business Park,Ganpatrao Kadam Marg,Lower Parel-Mumbai-400013|Phone +91 22 24826000|Fax +91 22 24826120|Website www.cipla.com|Email contactus@cipla.com|CIN : L24239MH1935PLC002380