Tax Invoice Invoice Number: C026-19-00107211

Original for Receipt

Keep the original invoice and barcode on medicines intact for returns

Sold By Bill To / Ship To (Patient)

Jadhav Chemist Order Id: 15655174
Akshay
B-7, Shree Krishna Woollen Mill Pvt. Ltd, Sonapur Order Date: 2020-01-29 9 shivshakti nagar kalwa east, Behind
Lane, LBS Marg, Bhandup West, Mumbai 400078
anand vihar complex, , Thane,
Invoice Date: 2020-01-30 Maharashtra, 400605
DL Number MH-MZ4-293131(2023-08-31), MH-MZ4-293132(2023-08-31),
Doctor Name Not Applicable
MH-MZ4-293133(2023-08-31), MH-MZ4-293134(2023-08-31),

GSTIN 27AANFJ4669H1ZT POS : 27-Maharashtra

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

DETTOL ANTISEPTIC
1 3004 JH506 12/21 160.83 16.08 144.75 12.00 1 160.83
LIQUID 550 ML

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

Notes:
129.24 6.0 7.75 6.0 7.75
0.0 9.0 0 9.0 0
Total 129.24 0.0 7.75 0.0 7.75

For Jadhav Chemist MRP Total 160.83

Name of the PharmEasy Savings @ 10.0% -16.08

Pharmacist Arpita
Subtotal 144.75

PR Number Rounding Off 0.25

N/012837

Pharmacist Signature

(Rounded Off)
Note: Total savings Rs. 16.00 Total Invoice Amount Rs. 145

Amount In Words : One Hundred Forty Five Rupees only.

*Charges inclusive of GST (HSN - 9997)
Customer Acknowledgement: I,Akshay 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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