Tax Invoice
Netmeds CS Number: 72007-12345 / Email: cs@netmeds.com
RELIANCE RETAIL LIMITED Original for Recipient
PPD-2,MOUZA-SANDHIPUR,J.L NO.04,R.S.DAG Duplicate for Transporter
Triplicate for Supplier
NO.801,802,806,807,808,809,817&819(ALL PART), GSTIN 19AABCR1718E1ZM
:
POLICE STATION-SANKRAIL PAN : AABCR1718E
Drug Licence No : WB/HWH/NBO/R/592659-20 & WB/HWH/BIO/R/592659-21
HOWRAH - 711302
FSSAI : 12821008000290
STATE CODE: 19, WB
Invoice No: CSSF11240462060 Order No : 17282237969011056ASO1
Invoice Date : 26-03-2025 Delivery Man : DELHIVERY (CoD)
Doctor Name : Dr GOPALAGARI VINODKRISHNA Patient Name : Mr/Mrs Karan Upadhya
Billing Address : KARAN UPADHYA Shipping Address : KARAN UPADHYA
8/44, U-Block, DLF Phase 3 8/44, U-Block, DLF Phase 3
Gurugram, Haryana - 122002, India. Mobile: 9101574858 Gurugram, Haryana - 122002, India. Mobile: 9101574858
Place of supply (State Name) : Haryana Landmark : Yadav Properties
Whether tax is payable on reverse charge basis : N
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)
1 Cipla L Duova Rotacap 30'S 30049099 645.42 4BA0607 09/25 3 576.27 1728.81 0 1728.81 12 207.46 1936.27
2 Mankind Telmikind Amh Tablet 10'S 30049079 104.50 C95X009 05/26 4 93.30 373.20 0 373.20 12 44.78 417.98
Z05BD240 0 291.70 35 326.70
3 Zuventu Eslo 5mg Tablet 15'S 30049072 163.35 07/27 2 145.85 291.70 12
02
0% 5% 12% 18% 28% Total
IGST - - 287.24 - - 287.24
Total Item : 3 Total Qty : 9 Sub Total : 2680.95
Discount Amount : 00.00
Total Taxable Amount : 2680.95
Total Tax Amount : 287.24
Round Off : 0.95
Payment Mode : Cash On Delivery (COD) Grand Total : 2968.19
Registered Pharmacist Signatory
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-customerservice@ril.com
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