| | njswipe.. MIDNAPORF. NURSING HOME. 1865 RABINDRA NAGAR MIDNAPORE WEST BENGAL Midnapore - 721102 WEST BENGAL INDIA Date/Time: 25 AUG 2021 10:51 AM MID:42M$00000917345 TID:Q0468850 Inv. no:100000429127201 SALE Card nat*** 8 eeeeg7 ge Chip Card type: MASTERCARD Exp dt:xx/xx Total Amount: 10000.00 Appr cd:074572 RRN:000022248165 TC:8a0h3a972f86f762 App id:a0000000041010 App name: Mastercard TVR:0000048000 TSI:e800 Pin Verified Ok SANTU CHATTERJEE. { [AGREE TO PAY THE ABOVE TOTAL AMOUNT \CCORDING TO THE CARD ISSUER AGREP Areas.No. : - 02795 Date:- 25/08/2021 MIDNAPORE NURSING HOME “eS (A House of Nursing) Rabindranagar * Midnapore Town * Paschim Medinipur * Pin - 721101 Phone : 03222 275251 Advance Money Receipt Received with thanks from : Sri/smt. ANANYA GANGOPADHYAY © oo Registration No. 02657/21-22 the sum of Rupees RUPEES TEN THOUSAND ONLY (By Card) Rs. 10,000.00 Licence No. : 34421510A RAHUL DIAGNOSTIC CENTRE < -_ (A Unit of Midnapore Nursing Home) INDRANAGAR, MIDNAPORE TOWN, PASC AE ane HIM MEDINIPUR Bill No. 01824/21-22 BILL / MONEY RECEIPT Bill Dated 7 27/08/2021 Patient Name : B/O ANANYA GANGAPADHYAY Phone. "9064296945. Referred By : DR.SUMAN SAU,MBBS, MD(PAED) Ward-109 Delivery Date Rate Discount Amount 27/08/2021 200.00 0.00 27/08/2021 70.00 0.00 70.00 Test Name BILIRUBIN (T &D & IND) \2.— GROUPING & RH SIno BILL AMOUNT 270.00 Amount in word : RUPEES TWO HUNDRED SEVENTY ONLY dB SOURAVP rat Prepared By Authorised Signatoryeg. No. : 69141 (WBMC) DIATRICIAN & Neonatologist Tefoctbodcccccccescccccsccodsccccevcscossceeses cele ccccccpeceseceescssscsscececessceee ee escccceseecec eee eeeeseeeeseeseeeseeeseeseeeeones men OF RUD CES. .sscctcsaksdaucte stbadpessentajistuysiseshigon ttn Crvsareuaspiecs cane oieaaMle eae only. (as professional charge for Consultant.) Y# ‘V@ceinctn pa SignatureNo. 69 Dr. Suman Sahu MBBS, DCH Reg. No. : 69141 (WBMC) PEDIATRICIAN & Neonatologist Received with thanks from eecccccccse (as professional charge for Consultant.) a le anCO er ee ! [MONEY RECCEIPT] Date: 28-08-2021 MIDNAPORE MEDICAL Rabindranagar * Midnapore Town * Paschim medinipur GSTIN : 19ACUPD1446K1Z8 D.L.No. : WB/PSA/1416/S,1417/SB Name Of The Patient : 2667/21-22 B/O ANANYA GANGOPAD Patient duress 22 Charge we collect on & behalf of:- AMOUNT Medicines (bill enclosed) 650.00 = No:- MM-2667/2 Rs. Six Hundred Fifty Only TOTAL 650.00 IDNAPORE ie ai GAL MBINDRAt AR, MIDF{APORE [Signature of the party / patient] WB/PSAI ev \at7/se [for MIDNAPORE MEDICAL]MIDNAPORE MEDICAL RABINDRANAGAR PASCHIM MEDINIPUR Phone : 7872438717 Ledger Account : 2667/21-22 BJO ANANYA GANGOPAD 2 oo ee _______ Page No..1 Date Particulars Type Debit Credit Balance Aug 25 Bill No. 0007178 2667/21-22B/0 ANAYA GANGOPADHYAY Sale 343.00 343.00Dr Aug 26 Bill No. 0007206 2667/21-22B/0 ANAYA GANGOPADHYAY Sale 298.00 Bill No. 0007222 2667/21-22B/O ANAYA GANGQPADHYAY Sale 14.00 655.00Dr Aug 28 CIN No. CN00981 2667/21-22B/0 ANAYA GANGOPADHYAY Cedt iS 650.00Dr 655.00 5.00 DrClosingBalance ss ———C«i.0 ___ 655.00. __ 655.00 DNAPORE MEDICAL MBINDRANAGAR, BGI APORE WeIPSR(GPNAS $8anh ak Patient Name : B1O ANAYA GANGOPADHYAY Caan Patient Code : 2667/21-22 Patient Address : pASCHIM MEDINIPUR Phone : 9083187029 Dr Name : SUMAN SAHU - Dr Reg No. SALE RETURN GSTIN : 1SACUPD1446K 126 SRetum No. CN0098 Date: 28-08-2021 D.L.No. : WB/PSA/1416/S, 1417/SB ISN. PRODUCT NAME 1. 6.00! NEEDLE-26 0.00 , 5.00 | SUB TOTAL TOTAL MRP VALUE - Terms & Conditi ~———WIDNAPORE MEDICAL | SGST6% 0.27 Terms & Conditions INDRANAGAR, ORE | CGST6% 0.27 Goods once sold will not be taken back. evan mgs ° ° Please bring out Bill While return Medicine. Remark : All disputes subject to Jurisdication only. For MIDNAPORE MEDICAL | | } _ GRAND TOTAL Authorised Si Rs. Five Onl ed Signatory1IDNAPORE MEDICAL : G 71 ie ABINDRANAGAR Patient Name : BO ANAYA Patient Code : 2667/21-22 PASCHIM MEDINIPUR Patient Address : ANGOPADHYAY Phone ; 9083187029 Dr Name : DR.S.SAHU Dr Reg No. GSTIN : 19ACUPD1446K1Z8 D.L.No. : WB/PSA/1416/S,1417/SB SALE = pre Propuer Name [rack] Wen | eaten [exe ary [wae | piscw seer] easy | avounr| Invoice No. : 0007178 Date: 25-08-2021 1. COTTON 2006M *200G |30049099 171 12/23 | 1 77.00 0.00 77.00 2. HYNASAL 1SML DROP 30049099|EHY010006 12/23 1 58.00, 0.00 6.00 00 ‘ 3. BABY KIT 30049099 | BABY (5/23 1 | 200.00 0.00 6.00 6.00 200.00 4. NEEDLE-26 30049099 | 400721 9/28 3 | 2.50 0.00 6.00 6.00 7.50| TOTAL MRP VALUE - 342.50 = SUB TOTAL eH j ORE ME B Terms & Conditions mipfiaPe MONAPORE CGST6% 18.35 Goods once sold will not be taken back. R BIN p ey thes Roundoff 0.50 All disputes subject to Jurisdication only. For MIDNAPORE MEDICAL Please bring out Bill While return Medicine. Remark : Authorised Signatory Rs. Three Hundred Forty Three Onl GRAND TOTAL 343.00MIDNAPORE MEDICAL RABINDRANAGAR PASCHIM MEDINIPUR Phony : 9083187029 GSTIN : 19ACUPD1446K1Z8 D.L.No » WB/PSA/1416/S,1417/SB ISN. PRODUCT NAME 1 2. 3 4 5 K-NAT INJECTION FEEDING-TUBE-6NO GLOVES 7 DISPOVAN SYNG 5CC KLIK-CLAMP TOTAL MRP VALUE - 298.25 Terms & Conditions Goods once sold will not be taken back All disputes subject to Jurisdication only Please bring out Bill While return Medicine Remark Rs. Two Hundred Ninety Eight Oni Patient Name ; B/O ANAYA GANG Patient Code » 2667/21-22 Patient Address Dr Name : DR.S. SAHOO eer sOVADHYVAY Dr Reg No. Invoice No 0007206 Date 26-02 SALE INVOICE | PACK HSN BATCH EXP. QTY MRP DISC% $GST CGST AMOUNT 1*0.5M 30049099 KLAOO13 5/23 1 44.75 000 600 600 44.75] (1 PAK 30049099 G21022651 1/26 1 54.00 000 600 69 540 1 *1SUC 30049099 21LDs 8/25 2 | 80.00 006 600 6.00 160 5 ml 30049099 948056 5/23 1 6.50 0.00 600 600 t 30049099 GRM20K501 10/24 1 33.00 000 600 6.00 33 ad : | ICAL SUB TOTAL 266.29 RE MEDICA SGST 6% 15.98 mip NAP AGAR, a ON APORE CGST6% 15.98 RABINDT Ves Roundoff 0.25 iP For MIDNAPORE MEDICAL Authorised Signatory GRAND TOTAL 298.00> MIDNA PORN EEN EHeSL Patient Name : B}O ANAYA GANGOPADHYAY RABINDRANAGAR Patient Code : 2667/21-22 PASCHIM MEDINIPUR Patient Address : Phonic : 9083187029 Dr Name : DR.S.SAHU \ . Dr Reg No. GSTIN : 19ACUPD1446K1Z8 T Invoice No. . 0007222 Date: 26-08-2021 D.L.No. : WB/PSA/1416/S,1417/SB SALE INVOICE SN. PRODUCT NAME [Pack [HSN | BATCH | EXP. | QTY | MRP | DISC%| SGST| CGST © inant 1. DISPOVAN SYNG 2CC. *2cc —_|30049099/0250Nc2 |5/23 | 1 | 5.40 | 0.00, 6.00 6.00 5.40] 2. INSULIN-SYRINGE PACK |30049099/|110014G 2 | 1 | 890] 0.00 6.00 6.00 8.90 | | | | | | Pt | | | | | | | | | | | | | | i | | | | Py ot | - | \ | j | | | | | | | | | | | | 1 | | | } TOTAL MRP VALUE - 14.30 _ CA _ SUB TOTAL 12.77 7 —— RE wet : ~~ | SGST 6% 0.77 Terms & Conditions MORAN CA at CGST 6 % 0.77 Goods once sold will not be taken back. WBI/PSAI14 | Roundoff 0.30 | All disputes subject to Jurisdication only. For MIDNAPORE MEDICAL Please bring out Bill While return Medicine. Remark : Rs. Fourteen Onl Authorised Signatory ~— GRAND TOTAL 14.00MIDNAPORE NURSING HOME 2 oul DATE :25/024/ 94 Ame B/ “Ananya Fa gopo drape ex - a, REG.NO:. AGC warp Bep.no._ [© GMIDNAPORE : NURSING HOM Pas a A ips ee ttl che a | | 1 awe NI iL KT fs | Ker ~S } ASAE es ‘t 6 5 OHopy-MIDNAPORE NURSING HOME ; nb 84.2 DATE: 2-08. L. Dj =p 2c ¢-MM-2657/2—” [MONEY RECCEIPT] Date: 28-08-2021 MIDNAPORE MEDICAL ees a Rabindranagar * Midnapore Town * Paschim medinipur GSTIN : 19ACUPD1446K1Z8 O.L.No. : WB/PSA/1416/S,1417/SB Name Of The Patient : 2657/21-22 ANANYA GANGOPADHYAY Patient Address : * Charge we collect on & behalf of:- AMOUNT Medicines (bill enclosed) 4639.52 Rs. Four Thousand Six Hundred Thirty Nine & Paisa Fifty Two Only TOTAL 4639.52 RE MEDICAL MIDNAP OF mio PORE je PORE MEDICA, [Signature of the party / patient] RAGINO RAYE anys [for MIDNAPORE LJMIDNAPORE MEDICAL RABINDRANAGAR > PASCHIM MEDINIPUR Phone : 7872438717 Particulars Type Aug 25 Bill No. 0007153 2657/21-22ANANYA GANGOPADHYAY Sale Bill No, 0007154 2657/21-22ANANYA GANGOPADHYAY Sale Bill No. 0007163 2657/21-22ANANYA GANGOPADHYAY Sale Aug 26 Bill No. 0007210 2657/21-22ANANYA GANGOPADHYAY Sale Bill No. 0007221 2657/21-22ANANYA GANGOPADHYAY Sale Bill No. 0007257 2657/21-22ANANYA GANGOPADHYAY Sale Aug 28 C/N No. CN00980 2657/21-22ANANYA GANGOPADHYAY Credit AEDICAL ch IPNAPORE ; R M RM DRE a SB RAB TRIPS Dr Closing Balance _ Ledger Account : 2657/21-22 ANANYA GANGOPADHYAY Debit 277.00 1312.00 399.00 1278.00 1589.00 304.00 5159.00 5159.00 Credit 519.48 519.48 4639.52 5159.00 Page No. Balance 1988.00 5159.00 4639.52Patient Name : ANANYA GANGOPADHYAY Patient Code : 2657/21-22 Patient Address : Dr Name : DR.SABYASACHI ROY Dr Reg No. GSTIN : 19ACUPD1446K1Z8 D.L.No. : WB/PSA/1416/S,1417/SB 70.00 50.68! 0.00 600 6.00 34.07 0.00' 6.00 6.00 | 11.09 0.00 6.00 6.00 | 13.47 0.00 6.00 6.00 33.00 0.00 6.00 6.00 1. | SUPERCARE REGULER 4 PC —33041000|0987 4/29 2. | RINGER S5OOML (INFUTEC) 1 BOTTLE |3004 0 (10705171 6/23 3: | DEXTROSE 5% 500ML (ACULIFE) INS 30049099 21EA035 3/23 4. | LASIX 4ML INJ 4ML [30049099 2121044 (2/24 5. | LORI 2ML NJ ml /30049099| 143354 (4/24 6. | TAZOWIN 1ML ING LING 30049099 | BITA-102 4/23 7. \|SYNTOCINON INJECTION ‘1ml —- 80049099 208044sSP 7/22 19.71 0.00 6.00, 6.00 8. \TRAMAZAC INJ 2ML aml | 30049099 |N100151 12/22 23.37 0.00 6.00; 6.00) / 4 PC 3004 0 |BNP724331 2/24 13.80 0.00 6.00 6.00 9. | JUSTIN SUPPOSSITARY 100MG 10.| DISPOVAN SYNG 10CC 8.50 0.00 6.00 6.00 10 mi —_|30049099)035103)P1 2/24 BS BN NPN ee Pe mL (30049089 946034se2 5/26 6.00 0.00 600 6.00 11.| DISPOVAN SYNG 3CC aeco 130049089 945024ND2 10/24 540. 000 6.00 6.00 12 DISROVAR Sa is 4 /30049099 147 10/22 48.00 0.00; 6.00 6.00 13.|PROCTO-CLYS fs CAPS |30049099|21440495 1/23 0 190.00/ 0.00/ 6.00 6.00 14. PAN-D CAP 10 TAB |30049099|20181655 11/22 0 184.00 0.00, 6.00) 15.\ SWICH-200MG TABLET —NWAPORE MEDIC TOTAL CIF 459.40 I Condition MIDNAP ORE CEE Goods once sold will not be taken back. R nat SA IFT7SB Take Medicine as per Doctor advice. | All disputes subject to Jurisdication only. For MIDNAPORE MEDICAL | Please bring out Bill While return Medicine. Reman _ - - Authorised Signatory |1IDNAPORE MEDICAL Paticnt N N ob atient Name : ANANYA GANGOPADHYAY RABINDRANAGAR ' Patient Code : 2657/21-22 PASCHIM MEDINIPUR Patient Address : Phone : 9083187029 Dr Name : DR.SABYASACHI ROY Dr Reg No. SALE INVOICE | HSN | BATCH | EXP. 0007153 Date: 25-08-2021 GSTIN : 19ACUPD1446K1Z8 Invoice No. : D.L.No. : WB/PSA/1416/S,1417/SB ISN. PRODUCT NAME | PACK 1. CAP 41 *1SUC 3004 0 cPo4 5/22 1 12.00 0.00 250 250 2. MASK 4 *1SUC 3004 0 G21053084 1 16.00 0.00 250 2.50 4m 30049099 20Y064sP 10/22 3 19.71 0.00 6.00 6.00 3. | SYNTOCINON INJECTION 4ml 30049099 143354 4/24 2) 13.47 0.00 6.00 6.00 See ZING 30049099 BITA-102 4/23 2 33.00 0.00 6.00 6.00 & | TALON IME NG 1ml 30049099 |N100151 12/22 1 23.37 0.00 6.00 6.00 6 TRAMAZAC INJ 2ML Lami 30049099 2121044 2/24 1 11.09 0.00’ 6.00 6.00 7. LASIX AML IN 10 ml 30049099 035103/P1 (2/24 2 8.50 0.00 6.00 6.00 8. DISPOVAN SYNG 10CC 3ML 30049099/946034sE2 5/26 4 6.00 0.00 6.00 6.00 9. DISPOVAN SYNG 3CC 4#2cC (30049099 o2sonc2 5/23 4 5.40 0.00 6.00 6.00 10. DISPOVAN SYNG 2CC. SUB TOTAL : 277.13 ee — SGST 14.02 TOTAL MRP VALUE = °° MIDNAPORE cae CGST 14.02 Conditions wack RABINORAY Vee Roundoff 0.13 ill not be taken back. rBiP Goods once sold wi = For MIDNAPORE MEDICAL ject to Jurisdication only. se i Authorised Signatory GRAND TOTAL 277.00 Remark : Seven OnlTDNAPORE MEDICAL Patient Name : ANANYA GANGOPADHYAY RABINDRANAGAR Patient Code : 2657/21-22 PASCHIM MEDINIPUR Patient Address : Phone : 9083187029 Dr Name : DR.SABYASACHI ROY Dr Reg No. GSTIN : 19ACUPD1446K1Z8 TThvoice No. . 0007154 Date: 25-08-2027 _ D.L.No. : WB/PSA/1416/S,1417/SB | SALE INVOICE x] rnobucTwane ————~(PACK | HON] avron [em] err [WAP us] Seb cosr “anounT 50.00 50.00 0.00 9.00 9.00 1. |RUKSHA SANITISER 100ML BOR {3304 1 |34022090 \4/22 | 1 2. | MEDIDRIP-SET-21NO. 4 PACK | 30049099 648362 |6/26 1 151.00! 0.00 6.00 600 151.00 3. |MEDIFLON 18 *1SUC 30049099 200821 |8/25 1 161.00 0.00 6.00! 6.00 162.00 4. | EASYFIX (FIXCAN) 30049099 | Fc20015 9/23 1 65.00 0.00' 6.00 6.00 65.00 5. | vaiL — |30049099|BPMz03001 5/23 3 60.20 0.00, 6.00 6.00 180.60 . | MONOCEF-1GM INJECTION | ECTION VAIL |30049099 BPE200918 10/22 3 50.34 0.00 6.00 6.00 151.02 i cman BORE a omG — |3004 MPG212908 {6/23 4 | 49.99 0.00 6.00 6.00 199.96 7. PANTOP IV 40MG ami |30049099|sRIz0015 11/24 4 5.14. 0,00 6.00 6.00 20.56 8. REGLAN INJECTION 2ML 4 *2ML "30049099 NFFO349 5/22 4 9.38 0.00 6.00 6.00 37.52 9. GENTICYN 80MG INJ 2 pac {30049099 5/26 1 18.34 0.00 6.00 6.00 18.34 10. BANDAGE 4'(BENGAL) pc Se ers |r 4/29 3 70.00 0.00 0.00 0.00 210.00) 11. SUPERCARE REGULER a*100ML |3004 0 2340553E (4/24 3 22.40 0.00 6.00 6.00 67.20 12. METRO 100ML IV 0 SUB TOTAL 1191.85 TOTAL MRP VALUE - 4312.2 _ _ . a pel S158 — aPort vate wi CGST 60.18 Terms & Conditions mid’, R, ‘wl PORE Roundoff ang Goods once sold will not be taken back. RABINO RNB 7/SB welP For MIDNAPORE MEDICAL All disputes subject to Jurisdication only . Please bring out Bill While retum Medicine. Authorised Signatory GRAND TOTAL 1312.00 Remark : Only I{DNAPORE MEDICAL RABINDRANAGAR PASCHIM MEDINIPUR Phone : 9083187029 GSTIN : 19ACUPD1446K1Z8 D.L.No. : WB/PSA/1416/S,1417/SB | | BATCH SALE INVOICE Patient Name : ANANYA GANGOPADHYAY Patient Code : 2657/21-22 Patient Address : Dr Name : DR.SABYASACHI ROY Dr Reg No. Invoice No. 0007163 Date: 25-08-2021 AMOUNT MRP | DISC% SGST | CGST Fo Jurisdication only. All disputes subject to nly : hile retum Medicine- Please bring out Bill WI Remark : dred Ninety Nine Onl 1. | RINGER 500ML (INFUTEC) BOTTLE [3004 0 |20D177 ee | 4 50.68 0.00 6.00) 6.00) 202.72 2. | DEXTROSE 5% SOOML (ACULIFE) INJ 08° Aree 3/23 3 | 34.07 | 0.00 » 6.00 6.00) 102.21 3. | JUSTIN SUPPOSSITARY 100MG Pc js008 Q |BNP724331 |2/24 ; eo on onl gm ge.0e 4, | HAND CARE GLOVES(M) 3304 1 |0122 5/23 | z y .00, 9.00) : | | | | | | | | | | | ! j | | | | | | | | | | | | | | | | | | | ; | | | | _—_ | - | SUB TOTAL TOTALMRPVALUE- 999-19_____WADNAPOKE coca, | SGST ndition: RABIND EAR. pl NAPORE \ ated 7 21.96 ‘Goods once sold will not be taken back. WB. ‘ M3" 14.17, /SB | undo 013 t MIDNAPORE MEDICAL | I Authorised Signatory = GRAND TOTA 399.00M1DNAPORE MEDICAL RABINDRANAGAR PASCHIM MEDINIPUR Phone : 9083187029 GSTIN ; 19ACUPD1446K1Z8 D.L.No. : WB/PSA/1416/S,1417/SB ISN. PRODUCT NAME 13004 0 |G21053084 130049099 | 21DKS |30049099 | 21LDS 30049099 | 035103/P1 30049099 | 948056 30049099 | 946034SE2 (30049099 221019 3004 0 |GN20K007 30049099 | 21012205 30049099 KP1713459 /30049099 20A05G8217 30049099 479SY2006 DISPOVAN SYNG 10CC DISPOVAN SYNG 5cc DISPOVAN SYNG 3cc BLADE-24NO (GLASS VAN) 9 G 10. SISCO-CATHETER-1 11. ANAWIN (H) INJ. 4ML 12., SPINOCAN 25NO 13. pPH 600MG TAB TOTAL MRP VALUE - Goods once sold will not be t RABINDEY \ All disputes subject Please bring out Bill While retum Medicine. 5/22 \8/25 8/25 2/24 5/23 |5/26 19/24 2/26 12/25 12/22 5/23 7/22 MEDICAL 1APORE 7ISB ah Pe PEPPER BRR ETO Invoice No. 12.00 16.00 80.00 80.00 8.50 6.50 6.00 5.50 266.00 167.00 27.50 154.00 69.00 For MIDNAPORE MEDICAL Authorised Signatory Patient Name : ANANYA GANGOPADH Patient Code : 2657/21-22 Patient Address : Dr Name : DR.SABYASACHI ROY Dr Reg No. SALE INVOICE | HSN BATCH EXP.) QTY | MRP DISC%| SGST, CGST AMOUNT 0007210 Date: 2 YAY 0.00 2.50 2.50 0.00 2.50 2.50 0.00 6.00 6.00 0.00 6.00 6.00 0.00 6.00 6.00 0.00 6.00 6.00 0.00 6.00 6.00 0.00 6.00 6.00 0.00 2.50 2.50 0.00 6.00, 6.00 0.00 6.00 6.00 0.00 6.00, 6.00 0.00 6.00 6.00 SUB TOTAL SGST CGST GRAND TOTAL 1278.00 ‘6-08-2021wv SEEPAC SABINDRAX AGAR “ PASCHIM MEDINIPUR Phone - 9083187029 GSMTIN - TSACUPD 1446K1z8 D.L.No WBIPSA/1416/5, 1417/58 Patient Name: ANANYA Patient Code - 2657/21-22 Patient Address : GANGOPADHYAY Dr Name : DR.SABY ASACHI ROY Dr Reg No. Invoice No. 0007221 Date. 26-08-2021 SALE INVOICE . PACK HSN BATCH Exp. Qty MRP _DISC% SGST caST AMOUA I TRUGLYDE 1 110 (SN2347VST)ROUN 1*1 PACK 30049099 £201143P 8/25 1 590.00 0.00 6.00 600 590. = _RELYON (1) 40MM M4259 76cm 1*1 3004 0 miz012 10/25 1 194.00/ 0.00 6.00 6.00 394, > RELYON 1-45 ROUND M4226{ATRO.. a1 20049099 NB2135 1/26 1 174.00 0.00 6.00 6.00374, 4 TRUGLYDE FAST 2-0-70cm 2762AEC a*1 30049099 £201510 11/25 1 271.00 0.00 6.00 600 271 < SYNTOCINON INJECTION imi 30049099 208044sP 7/22 Ss 19.71 0.00 6.00 600 98: 5 G-DRESS SWIMPROOF 25 1 “such 30049099 30051090 1/26 1 72.20 0.00 6.00 600 72. 7. BUTODOL-IML 2ML 30049099 KPo9s4016 3/23 1 5240 0.00 600 600 52. S ONDEM 2M ins 1*2ML 30049099 OND2I1009sR 5/23 1 13.10 0.00 600 6.00 Bs ‘ TTAL 0 'G2040082 3/24 1 89.56 0.00 6.00 5.00 To CO NGER LLITIACCULIFE) tie sme 10606 108 5/23 1 34.28 0.00 600 600 342 1S DNS SOOML [ACULIFE) TINS 09 ICAL os. “a5 14 1589 MED SGST6% TOTAL MRP VALUE MIDNAPORE VAWINAPORE CGST6% 85.14 Terms & Conditions rai, MEA7T/SB Roundoft 0. Goats re 990 wl rot be tanen back For MIDNAPORE MEDICAL SL Geptes wtzet to Jursdcation only Pease 30g of 88 fide return Metone Perna Rs One Thousand Five Hundred Eighty Nine O Authonsed Signatory ~=GRAND TOTAL 1589.0MIDNAPORE NURSING HOME ae PHARMACY REQUISITION yo VEGF DATE: 265° O&: name Cham Prong Ganda Pade 2¢4sex_C REG.NO.: 265F WARD BeD.No:__|%9 CONSULTANT : Dr. er S.No \ fy uti i UT ho- Levy re “were > TRS {3 j ; pr! 1 ¥£ LETT AR RAR , ww LOe WIDNAPORE NURSING HOME Fame POY Crema JePac ay np AGES SEX REG.NO:_26 44 ___WARD pev.no;__1°9 \, li 4y- Pande) / Pomtep rT : 0 : 2A 8/2) RE I-54APORE NURSING HOME EISSN NO h“y G DATE: NAME MO WY & CLAMS 0 AGI REG no:4 G Se WARD. BED.NO..: 0p -d3a CONSULTANT : Dr. a < } ) ka a 9 oO ; \, c\ e\ a4 Wh 3 S S 5 | G ¥ a 1 om é 2 \ \ = Sn Q ) \R Cy \ \, eS Ped | \ N k — V x ee ED RS TS. Ze} | LL teen esSo VS YY NN] ag Ni] ase shed : 4 re mre tO K a4 p. : \\ Complatd eae , 4 RES 3 15 se . x — I Ot NJ So S 5 Ci c OO OS CJ dj x 7 a o\ oO = Y 3 Oy aS l ee FANNIN as DATE A LA Gia Q (OY eee OW 0 Qi r) OU U {2 o/, MI rs PHARMACY REQUISITION Ly dine J / 5 eceemememen lien! NaMe Foe Arran Mw he SEES y / \0¥ g tl y MIDNAPORE NURSING HOME. = y yo ee eee iS recno: AGS 'F of CONSULTANT : Dr. NO.MIDNAPORE NURSING HOME ; ae. “NO. Pe DATE : Qsigh 1 NAME Aman ts oat a ee reno. 26 SY? ot. BED.NO.: {09 CONSULTANT : Dr. |e Th LF ) peel A Signatile bt EMO Pe aa Signature of O.T. Sister oe ema Pee EaMIDNAPORE NURSING HON a no 82 3 DATE : 26 { NAME ya Gray f AGE QB vA SEX. oe REG.NO:;__ 265°. WARD. BED.NO.;__ {0% CONSULTANT : Dr TAb- Swich (206)WS SANGITA MEDICAL STORES RABINDRANAGAR(ST ADIL M ROAD) PASCHIM MEDINIPUR fOB NO. -993, S31al \ _ 19ASCPM4939L1Z6 Patient Name : ANANYA GANGOPADHYAY Patient Address :ASHOK NAGAR. MIDNAPORE.KOTW At LMID(W MOB NO: GSTIN: Dr Name : DR.SABYASACHI ROY Dr Reg No. 54207(\WBMC) SR - PRODUCT NAME TAPHIL BAR* ACI CREAM * PAM/BIO/R/167705/NBOIRI167705 | GASH MEMO Invoice No. “016035 Date: 28-08-2001 2 UPTO | 48.02.2019 - 17.02.2024 ___PRESCRIPTIONREGIsTeR =| ME: 20:07 1 200MG TAB * H1 OTAB 3004 |ALKEM. | 29182755 11/21 0:6 175.00 | 6.00] 6.00 105.00) iCH 200MG TAB * H1 OTAB |3004 |ALKEM. | 20181469 10/22 1:0 184.00 | 6.00} 6.00 184.00 AB* O Tabs /3004 |CADILA | jkAD20076 11/22 1:0 128.10 | 6.00! 6.00 128.10 20 Tabs |3004 |AVENTIS.| ING436 2/23 1:10 38.07 | 6.00] 6.00 57.11 (150 ML |3004 |MACLEODSKIE21005A 6/22 2 168.00} 6.00] 6.00 336.00 1*15TAB |3004 |LUPIN. | 1521003 4/23 2 174.00 | 9.00] 9.00 348.00 : 200ML |3004 |ALKEM. | 21490049 1/23 1 228.90 | 2.50} 2.50 228.90 BY SALINE aed 3004 |GSK =| 20Bz04 1/22 1 51.81 | 6.00} 6.00 51.81 ANOVA D3 DROPS SML |3004 ZUVENTUS VNA21017 10/22 1 83.30 | 6.00| 6.001 83.30 75GM 3004 |GALDERMA3C002 42/22 1; 195.06} 9.00! s.00 195.051 DROP lO ML —|3004 |KONTEST] xDD43 1/23 1 49.50 | 6.00} 6.00 49.50 BABY SHAMPOO (L*200ML |3004 |GLADERMA9335832407| 6/22 1 | 585.00! 9.00} 9.00 585.00 (I5GM — |3004 |GLAXO. | EL469 9/22 1:0 319.30 | 6.00} 6.00] - 319.30) 1 | 1°2 5+2 5%=4 9SGST+4.9CGST, 1055.99*6+6%=63.36SGST+63.36CGST,860.32*9+9%=77.44SGST- 77. BOBSDOTAL 291.40 2671.02 —— DISCOUNT 267.10 ROUND OFF 0.08 s 2 Conditions FRIDAY CLOSE ‘ald will not be taken back. cine as per Doctor advice. es subject to Jurisdication only. g out Bill While return Medicine. -_i wo [housand Four Hundred Four Onl For_ M/S SANGITA MEDICAL STORES Sig of Qualifed Persion GRAND TOTAL 2404.00Memo ‘Wwoice no. 01921¢ Tax Invoice/Bill of Supply/Cash Paaerivseee eens (Original for Recipient) Order ip Por 392160829461) Sold By _ Next-Gen Pharma | DL Number: WB/HWH/NBO/R/332235, WB/HWH/BIO/R/332235, _ WB/HWH/NBO/W/332236, WB/HWH/BIO/W/332236, WB/ Patient Name: santu chatterjee Address: Sharanya House Ashok Nagar ,Nepali Para Road Midnapore, Paschim Medinipur, Landmark- Near Adhikary Caterer HOW/1679/HR wenn FSSAI License No: 12819008000373 India, -Near Adhikary Caterer, West | GST: 19AAOFN7675G1Z) Midnapore, 721101, India, Nepali Para CIN: NA Place of supply: West Bengal Address: Srijan Industrial Logistic Park, Unit No. 2 and 3, Block- | Contact: 9064295945 { A, Part-C, 2nd Floor, LR. Dag No- 210, L.R. Kh. — a ae No.-1181/1,614,6161957, }.L No.-030, MOUZA-Ankurhati, NH-6, Doctor nuine 4 maanieae Prasastha, Domjur, Howrah, West Bengal, 711302, India x : sr. |PRODUCT NAME Mfr.Name |BATCH |ExP. ev vom [pack [map DISC | TAXABLE is GST |Gst |ToTAL No. |DATE (unit) |size AMT. |AMT. ___|RATE amr. lame. 1 |Dilitol Antiseptic |Reckitt KNs66 jo424 )1 Imi 250 1056 |s60 | a929 3004100 | 12 10.7 |100 Disinfectant Benckiser oO Liquid —_ ~ _ — 2 |Atoglaiotion | curatio Alz130 103723 [1 |mi 200 |490.0 |7100 |ass08 3304993 |18 63.91 |a19 Healthcare 0 je India Pvt Ltd ‘ss [cst% Reali iz 1 O% ° es | | 5% o aa) 2% aoe ae | | 18% os 28% a. ae Amount in Words: Five hundred and nineteen only All disputes related to this order are subject to West Bengal Jurisdiction Computer Generated Invoice. Pharrnachst Signature For Support Contact: care@Img.com Transit mode: By Road/Air Bringing care to health