Customer Copy/Transporter Copy/Supplier Copy/Extra Copy TAX INVOICE eWay Bill No.

201366593922
EMCURE PHARMACEUTICALS LTD. CIN : U24231PN1981PLC024251 Doc. No/Date : 5404225962/30.11.2021
H.No. 3258, PLOT NO. 46, VERMA LAYOUT, PAN : AAACE4574C Party Doc. No/Date : 2867-30.11.2021/30.11.2021
SHOP NO. 7 & 8, GROUND & MAZZANINE FLR GSTIN : 27AAACE4574C1ZV Pick Slip No. : 2104226960
KUKREJA COMPLEX, KHADGAON ROAD, NAGPUR D.L.No. : 20B 232612 ; 21B 232613 H.Q. : NAGPUR
WADI-440023 Maharashtra State Code - 27 Food Lic. : 11521056000281
Details of Receiver (Billed to) Details of Consignee (Shipped to) Transporter : SANTOSH FRIEGHT
KUKREJA BROS. (401024) KUKREJA BROS. (401024) LR No./Vehicle No. : 20926
SHOP NO.501 TO 516,523 TO 531 SHOP NO.501 TO 516,523 TO 531 LR Date. : 02.12.2021
,5TH FLOOR ,R SANDESH DAWA BAZAR ,5TH FLOOR ,R SANDESH DAWA BAZAR No. of Cases/Wt. : 04
H.NO.188,SHEET NO.194,CITY SUR.NO.151 H.NO.188,SHEET NO.194,CITY SUR.NO.151 Destination : NAGPUR
NAGPUR-440018 Maharashtra State Code - 27 NAGPUR-440018 Maharashtra State Code - 27 Date of Supply : 30.11.2021
Contact No: 07122775637 Contact No: 07122775637 Place of Supply : Maharashtra State Code - 27
GSTIN/Unique ID: 27AALFK0708J1Z9 GSTIN/Unique ID: 27AALFK0708J1Z9 Due date for payment : 09.12.2021
D.L.No.: 20B:,21B- D.L.No.: 20B:,21B- :
Food Lic.: 21517261001200 Food Lic.: 21517261001200 :
PAN: AALFK0708J PAN: AALFK0708J Weight : 11.666 Kgs
Description of Goods MFG Batch Number Expiry MRP PTR HSN Code Qty Free Qty UOM/Pack Rate/PTS Taxable Value CGST SGST
Rate% Amount Rate% Amount
EMCURE CD
CONSIVAS ASP CAPSULES EPWFX21004 07.2023 82.50 58.93 30049099 200 10 C 53.04 10608.00 6.00 636.48 6.00 636.48
CONSIVAS GOLD 10 CAPSULES 10X10C SPH EPG9AY1004 12.2022 119.55 85.39 30049099 10 10 C 76.85 768.50 6.00 46.11 6.00 46.11
CONSIVAS GOLD 20 CAPSULES 10X10C SPH EPG9AZ1003 02.2023 167.85 119.90 30049099 30 10 C 107.91 3237.30 6.00 194.24 6.00 194.24
CONSIVAS - 10 TABLETS EMJ E16BW21003 07.2024 105.80 75.57 30049099 30 10 T 68.01 2040.30 6.00 122.42 6.00 122.42
CONSIVAS-5 TABLETS EMJ E16BV21001 04.2024 57.55 41.10 30049099 10 10 T 36.99 369.90 6.00 22.19 6.00 22.19
GLIPSOV TABLETS 10X15T SPH EPG9BB1002 07.2023 216.50 154.64 30049099 10 15 T 139.18 1391.80 6.00 83.51 6.00 83.51
HOSIT FE TABLETS EMJ E16LD21008 08.2023 158.65 113.32 30045039 30 10 T 101.99 3059.70 6.00 183.58 6.00 183.58
HOSIT PLUS CAPSULES EMJ E16DP21003 02.2023 203.15 145.10 30045039 20 10 C 130.59 2611.80 6.00 156.71 6.00 156.71
HOSIT TABLET EMJ E16DN21002 04.2023 150.30 107.36 30045039 15 10 T 96.62 1449.30 6.00 86.96 6.00 86.96
NUMLO-TM 5 TABLETS 1X15 T WBL ELR6BC1001 07.2023 237.60 169.71 30049072 10 15 T 152.74 1527.40 6.00 91.64 6.00 91.64
NUSAR ATN TABLET EMJ E16FW21001 08.2023 163.50 116.78 30049073 30 10 T 105.11 3153.30 6.00 189.20 6.00 189.20
S-NUMLO 2.5 MG TABLET 1x15 T EMJ E16HH21006 02.2025 91.20 65.14 30049072 40 15 T 58.63 2345.20 6.00 140.71 6.00 140.71

IRN : 59f95bffd3a19f22aa747fdc8ef4fa275082ad053ae169e3d76e1abd07ea1c3c
Terms, Condition & Declaration:
1)It is certified that, the goods supplied under this invoice do not contravene in any way the provisions of section 18 of the Drugs and Cosmetic Act 1940. For Emcure Pharmaceuticals Ltd
2)"Payment of the invoice should be made by way of issuing cheque/Demand Draft/NEFT/RTGS/Debit Card powered by RuPay/UPI (Unified Payments Interface)
(BHIM UPI)" UPI Address is - emcurep@axisbank
3)Interest @ 18% p.a. will be levied on overdue period. Contact details: 07104-320600 Authorised Signatory

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 Customer Copy/Transporter Copy/Supplier Copy/Extra Copy TAX INVOICE eWay Bill No. 201366593922
EMCURE PHARMACEUTICALS LTD. CIN : U24231PN1981PLC024251 Doc. No/Date : 5404225962/30.11.2021
H.No. 3258, PLOT NO. 46, VERMA LAYOUT, PAN : AAACE4574C Party Doc. No/Date : 2867-30.11.2021/30.11.2021
SHOP NO. 7 & 8, GROUND & MAZZANINE FLR GSTIN : 27AAACE4574C1ZV Pick Slip No. : 2104226960
KUKREJA COMPLEX, KHADGAON ROAD, NAGPUR D.L.No. : 20B 232612 ; 21B 232613 H.Q. : NAGPUR
WADI-440023 Maharashtra State Code - 27 Food Lic. : 11521056000281
Details of Receiver (Billed to) Details of Consignee (Shipped to) Transporter : SANTOSH FRIEGHT
KUKREJA BROS. (401024) KUKREJA BROS. (401024) LR No./Vehicle No. : 20926
SHOP NO.501 TO 516,523 TO 531 SHOP NO.501 TO 516,523 TO 531 LR Date. : 02.12.2021
,5TH FLOOR ,R SANDESH DAWA BAZAR ,5TH FLOOR ,R SANDESH DAWA BAZAR No. of Cases/Wt. : 04
H.NO.188,SHEET NO.194,CITY SUR.NO.151 H.NO.188,SHEET NO.194,CITY SUR.NO.151 Destination : NAGPUR
NAGPUR-440018 Maharashtra State Code - 27 NAGPUR-440018 Maharashtra State Code - 27 Date of Supply : 30.11.2021
Contact No: 07122775637 Contact No: 07122775637 Place of Supply : Maharashtra State Code - 27
GSTIN/Unique ID: 27AALFK0708J1Z9 GSTIN/Unique ID: 27AALFK0708J1Z9 Due date for payment : 09.12.2021
D.L.No.: 20B:,21B- D.L.No.: 20B:,21B- :
Food Lic.: 21517261001200 Food Lic.: 21517261001200 :
PAN: AALFK0708J PAN: AALFK0708J Weight : 11.666 Kgs
Description of Goods MFG Batch Number Expiry MRP PTR HSN Code Qty Free Qty UOM/Pack Rate/PTS Taxable Value CGST SGST
Rate% Amount Rate% Amount
VYLDA-M 1000 TABLETS 1X10 T EMJ E16KO21017 09.2023 152.75 109.10 30049099 10 10 T 98.19 981.90 6.00 58.91 6.00 58.91
VYLDA-M 500 TABLETS 1X10 T EMJ E16KP21054 10.2023 131.60 94.00 30049099 150 10 T 84.60 12690.00 6.00 761.40 6.00 761.40
VYLDA OD 100 TABLETS SPH 21S2GTA800 07.2022 223.50 159.64 30049099 20 15 T 143.68 2873.60 6.00 172.42 6.00 172.42
VYLDA TABLETS 1X15 T EMJ E16KN21015 08.2023 147.25 105.18 30049099 100 15 T 94.66 9466.00 6.00 567.96 6.00 567.96
XILIA - M 1 TABLETS SGB 32TXL005 07.2023 122.70 87.64 30049099 30 10 T 78.88 2366.40 6.00 141.98 6.00 141.98
XILIA-MP 1 TABLETS PCH EPCZ21002 08.2023 119.75 85.54 30049099 10 10 T 76.98 769.80 6.00 46.19 6.00 46.19

61710.20 3702.61 3702.61

Amount in Word:Rs. Sixty Nine Thousand One Hundred Fifteen Rupees Invoice Total: 69115.42
Additional Discount 0.00
TCS 0.00
Rounding Off -0.42
IRN : 59f95bffd3a19f22aa747fdc8ef4fa275082ad053ae169e3d76e1abd07ea1c3c Net Amount 69115.00

Terms, Condition & Declaration:

1)It is certified that, the goods supplied under this invoice do not contravene in any way the provisions of section 18 of the Drugs and Cosmetic Act 1940. For Emcure Pharmaceuticals Ltd
2)"Payment of the invoice should be made by way of issuing cheque/Demand Draft/NEFT/RTGS/Debit Card powered by RuPay/UPI (Unified Payments Interface)
(BHIM UPI)" UPI Address is - emcurep@axisbank
3)Interest @ 18% p.a. will be levied on overdue period. Contact details: 07104-320600 Authorised Signatory

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