Delivery Summary Order Date : 12-09-2021

DELIVERY ADDRESS

Mohd Zainuddin
Darul Uloom ghawseazam, Ahmad Raza rod memanward porbandar, Porbandar -
360575, Porbandar

S. Total Total Invoice

Invoice No. Patient Name Doctor Name
No Med Qty Amt

1 C003-21-00437091 Mohd Zainuddin Not Applicable 2 2 663.3

2 V24-21-100122548 Mohd Zainuddin - - 2 58.00

Total Invoice Amount Rs. 721.3

Total Savings On Order Rs. 44.7

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 Tax Invoice Invoice no. : C003-21-00437091

Order ID: 41296927 Order Date: 12-09-2021

POS: 24-Gujarat Invoice Date: 12-09-2021
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
Abhinav Chemist Mohd Zainuddin
Shop No. 41, FF AL-AMIN Estate Sanand Darul Uloom ghawseazam, Ahmad Raza rod
Sarkhej Road Sarkhej Ahmedabad – 380051 memanward porbandar, Porbandar - 360575,
Porbandar
GSTIN 24ABJFA4579J1Z4 Doctor Not Applicable

DL No. 20-GJ-AD2-149351,21-GJ-AD2-149352

UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
CADBURY MONDELEZ 19019 W1041 04/22 410 0 410 12 1 410
1 090 8A2
BOURNVITA INDIA FO

HEPATOGLOBI RAPTAKOS 30045 BO1T2 07/22 298 44.7 253.3 12 1 253.3

2 010 0072
NE BOTTLE OF BRETT &

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 708
592.23 6 35.53 6 35.53 PharmEasy Savings @ 6.31% -44.7
592.23 35.53 35.53
Subtotal 663.3

Notes:

Total Invoice Amount 663.3

Total savings is Rs. 44.7/-
Amount In Words : Six Hundred Sixty Three Rupees And Thirty paise.

PHARMACIST Harish Rajput(PR No.: G71246)

For Abhinav Chemist Authorized Signature
Whether GST is payable on reverse charge - No. Keep the original invoice and barcode on medicines intact for
returns. Pharmeasy is only a technology platform and facilitates the connect between the retailer and customer.
For details visit https://pharmeasy.in/terms-and-conditions.

Original for recipient Duplicate for transporter Triplicate for supplier

1
Signer: DS AXELIA SOLUTIONS PRIVATE LIMITED(1)
Date: 12-09-2021 04:55:38 (+5:30 GMT)
Reason: Service Invoice