TAX INVOICE

CHIPLUN BAZARPETH
HOUSE/ SHOP NO. 1768,CITY SURVEY NO. 546BAZARPETH,BAZARPETH, CHIPLUN.
Ph No. : 02355261010 / 02355261011

DL No. : 20-MH-RAT-342439,21-342440
GSTIN : 27AAACW7565P1ZH
State : 27 ( MAHARASHTRA )

Patient Name: SADIK PIMPALKAR Invoice No. : 20192S39177

Ph : 7030518273 Dated : 2020-07-30 (15:56:27)
Address: CHIPLUN Transport :
Dr. Name : SUNIL THATTE DL No. : Sman Code : User : RADHESHAM
GSTIN : State : ( MAHARASHTRA ) Dman Code :

Description of Goods Ls. Batch No. Sale Disc Taxable

Qty Mrp GST% GST Amt Amount
HSN / SAC Code Qty Exp Dt. Rate % value
ZINCONIA 50MG
Z05BI20050
10TAB 3 0 49.15 55.05 0 147.45 12% 17.68 165.13
11/2022
30045020
OMNACORTIL 5MG
GOB2050A
10TAB 1 0 5.50 6.16 0 5.5 12% 0.66 6.16
01/2024
30042064
OMNACORTIL 5MG
GOB2093A
10TAB 1 0 5.59 6.27 0 5.59 12% 0.66 6.25
03/2024
30042064
CLARINOVA 500MG
B4AFT004
6TAB 1 0 171.43 192.00 0 171.43 12% 20.56 191.99
02/2022
30042063
DUOLIN RESPULES
GA00117
2.5ML 10 0 11.43 12.80 0 114.28 12% 13.7 127.98
01/2022
30049099
BUDECORT 0.5MG
SN00536
RESPULES 2ML 10 0 20.84 23.34 0 208.39 12% 25 233.39
03/2022
30049099
IODEX BALM 16GM H20091
1 0 66.96 75.00 0 66.96 12% 8.02 74.98
30049011 02/2022
IODEX BALM 40GM H20112
1 0 116.07 130.00 0 116.07 12% 13.92 129.99
30049011 03/2022

REMARK : GROSS TOTAL : 935.98

Amt in Words : NINE HUNDRED THIRTY FIVE RUPEES and EIGHTY SEVEN PAISA only DISCOUNT : 0.00
DISCOUNT Rs. :
GROSS SCH DISC SGST CGST
TAX% TAXABLE SGST% CGST% CGST AMT : 50.10
AMT AMT AMT AMT AMT

0% 0.00 0.00 0.00 0.00 0% 0.00 0% 0.00 SGST AMT : 50.10

5% 0.00 0.00 0.00 0.00 2.5% 0.00 2.5% 0.00 IGST AMT : 0.00
12.0% 0.00 0.00 0.00 835.67 6.0% 50.1 6.0% 50.1 TOTAL TAX AMT : 100.20
18.0% 0.00 0.00 0.00 0.00 9.0% 0.00 9.0% 0.00 PC/BC CHARGE :
28.0% 0.00 0.00 0.00 0.00 14.0% 0.00 14.0% 0.00 ROUND OFF :
INV TOTAL : 935.87

Terms & Conditions Receivers Signature :

For CHIPLUN BAZARPETH

Authorized Signature
(Common seal)