Tax Invoice Invoice no.

: C4096-21-0054466

Order ID: 43709883 Order Date: 17-10-2021

POS: 27-Maharashtra Invoice Date: 17-10-2021
SOLD BY(PHARMACY) BILL TO / SHIP TO (PATIENT)
Jadhav Chemist SHARIQUE AHMED SHAIKH
GALA NO. 201-A, SECOND FLOOR, Next to kohinoor kirana, Nawabpura,
UMAIYA COMPLEX, D WING, MUMBAI OLD Nandura, Maharashtra 443404, India,
AGRA ROAD Nandura - 443404, Nandura
GSTIN 27AANFJ4669H1ZT Doctor Not Applicable

DL No. MH-TZ5-433913,MH-TZ5-433912,MH-TZ5-433915,MH-TZ5-433914

UNIT
# ITEM NAME MFR/MKT HSN BATCH EXP MRP DIS GST% QTY AMOUNT
PRICE
HIMALAYA 30049 372100 05/24 120 40.93 96 12 1 79.07
1 HIMALAYA 011 892
MENTAT

Taxable Amt SGST% SGST Amt CGST% CGST Amt MRP Total 120
70.6 6 4.24 6 4.24 PharmEasy Savings @ 20% -24
70.6 4.24 4.24
Subtotal 96
Coupon Savings -16.93

Notes:

Total Invoice Amount 79.07

Total savings is Rs. 40.93/-
Amount In Words : Seventy Nine Rupees And Zero Seven paise.

PHARMACIST Manoj Yadav(PR No.: 123640)

For Jadhav 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