::::SHRI GANESHAY NAMAH::::

C N KOTHARI HOM. MED. COLL. & RES. CENTR

GOPINATH PHARMA VILASINI K DEAI AROGYA SANKUL
13+21,GR FLOOR, KARSHANBHAI NI CHAAL,OPP : JARIWALA COMPOUND,B/H : KAKARAPAR BYPASS
KIRAN HOSPITAL, VASTADEVDI ROAD
Ph.:,9909437981,, State:Gujarat-24 Ph.:02626221191, 02626224651, DL No.:,,, ,
GSTIN:24AAQFG2026A1ZY DL No:20B GJ SUR 140823,21B GJ SUR 140824,, GSTIN : PAN No.:AAATA7457P
Electronic Ref. No.: 0 Deliver By:A COUNTER GST TAX INVOICE A COUNTER
BHAVESH 12/01/2023 11:38:56 Outstanding:89130.00 Inv. No.:T-4316 /Credit Date:31/12/2022
Sr. Product Rack HSNCode Mfg Pack Exp. BatchNo. MRP Qty. Free Rate Amount Disc% Taxable GST% GSTAmt.
. Taxable
1 FORMALIN SOL. 450 ML 29121100 OTHE 450 ML 04/24 C-096 80 2 50.00 100 0 100 9 18
2 LIDOFIX 2% JELLY 30 GM OTHE 1*30 G 05/24 LV54 38.7 20 22.00 440 0 440 6 52.8
3 ENEMA 30049099 OTHE 1 EN-19 63 20 17.50 350 0 350 6 42
4 NEOSPORIN POWDER 30049099 GLAX 10 GM 06/24 BF640 86 20 61.50 1230 0 1230 6 147.6
5 DOLO 650 MG TAB 3004 MICR 1*15 05/25 DOBS2432 30.91 34 22.08 750.72 0 750.72 6 90.08
6 DEPIN 10 CAP 30049099 CADI 1*30 02/24 M210889 31.92 1 23.00 23 0 23 6 2.76
7 JONAC SUPPO 30049099 ZYDU 1*5 09/25 T202251 109.34 10 86.00 860 0 860 6 103.2
8 ALPRAX 0.25 MG TAB 30049088 TORR 1*15 01/24 GDDB0002 26.4 4 18.86 75.44 0 75.44 6 9.06
9 ALPRAX 0.5 TAB 30049088 TORR 1*15 01/24 GDEB0003 55.6 4 39.71 158.84 0 158.84 6 19.06
10 ZAPIZ 0.5 TAB 30049079 INTA 1*10 03/23 K2100701 34.94 3 24.96 74.88 0 74.88 6 8.98
11 VASOCON 1ML AMP 30049099 NEON1 ML 08/23 KP85234 19.25 10 15.00 150 0 150 6 18
12 ADRENALIN AMP 3004 OTHE 1 AMP 09/23 GN255 19.46 20 8.00 160 0 160 6 19.2
13 NEWRAB DSR CAPSULE 30049039 NEWT1*10 03/24 C1222018 75 200 16.00 3200 0 3200 6 384
14 CORTS-S INJ 30043200 NEON100MG 03/24 V44710016 44 20 17.85 357 0 357 3 17.84
15 DEXONA AMP 3004 ZYDU 2 ML 03/24 N200989 11.57 50 9.10 455 0 455 6 54.6
16 DOPAR 200MG INJ 30049099 OTHE 5 ML 11/23 IDPHA1115 29.65 10 25.75 257.5 0 257.5 3 12.88
17 AMINOPHYLIN INJ 10 ML 30049039 OTHE 1*10 04/24 RP-115 23 14 6.05 84.7 0 84.7 6 10.16
18 EMESET 2 ML INJ 3004 CIPLA 2 ML 05/25 S62004 14.53 200 5.15 1030 0 1030 6 123.6
19 TAZOWIN INJ 3004 OTHE 1*1 04/24 TAZ22020 39.93 50 31.40 1570 0 1570 6 188.4
20 LORI 2 ML INJ 30049099 NEON2 ML 02/25 143379 13.47 30 11.00 330 0 330 6 39.6
21 CALCIUM GLUCONATE INJ 10ML 30049099 OTHE 10 ML 03/24 417 6 10 4.95 49.5 0 49.5 6 5.94
22 LASIX 4ML INJ 30049099 AVEN 4 ML 08/25 2122153 12.28 30 10.13 303.9 0 303.9 6 36.46
23 SUPER AMP 10 ML 30049099 OTSI 10 ML 07/27 61010268 2.88 100 2.12 212 0 212 6 25.44
24 MVI 10 ML INJ 30040909 OTHE 10 ML 11/23 MA22F46 35 10 9.00 90 0 90 6 10.8
25 SODAC 10MK INJ 3003934 NEON1*1 06/23 UN199012 13.4 10 10.80 108 0 108 6 12.96
26 CONTRAMAL 100 INJ 3004 ABBO 2 ML 05/23 UBLE00008 23.37 150 16.69 2503.5 0 2503.5 6 300.42
27 TAMIGRIT 5ML INJ 30040909 OTHE 1*5 08/24 RA2103B 92.8 30 32.00 960 0 960 6 115.2
28 PERINORM INJ 2 ML 30049099 IPCA 2 ML 07/25 GE272108BM 5.8 30 4.60 138 0 138 6 16.56
29 SYL INJ 2 ML 30049099 BENN 2 ML 12/23 020122 23 20 16.42 328.4 0 328.4 6 39.4
30 HAENACCEL 500ML IV 3004 ABBO 1*1 12/24 HMA22004 509.77 2 364.12 728.24 0 728.24 6 87.38
31 DERIPHYLLINE AMP 3004 GERM2 ML 05/25 NI00647 7.45 20 5.85 117 0 117 6 14.04
32 NITROPLUS 5 ML INJ 30049099 NEON5 ML 02/24 1431060 35 5 22.90 114.5 0 114.5 6 13.74
33 LAB 4 ML INJ 300490099 OTHE 4 ML 02/24 LAB-03 213.15 5 83.00 415 0 415 6 49.8
34 NORAD 2ML INJ 30045009 NEON1*1 05/24 63714 63.1 5 19.00 95 0 95 6 11.4
35 DOMIN 5 ML INJ 30039034 NEON5 ML 08/23 1334160 29 2 16.50 33 0 33 3 1.64
36 PANTAINT 40MG INJ 30049039 INTA 1*40 ML 08/23 JDI-1929 48.54 200 11.65 2330 0 2330 6 279.6
37 NEODROL 40 MG INJ 30049099 NEON1 04/24 899191 59.5 10 47.50 475 0 475 6 57
38 DYNAPAR INJ 1 ML 30049066 TROI 1 ML 12/23 D22S116 33.46 25 26.35 658.75 0 658.75 6 79.04
39 XACE P TAB 30049069 ALIC 1*10 04/24 AT5573 46 50 8.70 435 0 435 6 52.2
40 SORBITRATE 5 MG TAB 3004 ABBO 1*10 04/25 SBA22013 46.48 1 33.20 33.2 0 33.2 6 3.98
41 VERTIN 16 TAB 30049039 ABBO 1*10 10/25 RBIB22019 325.34 2 232.39 464.78 0 464.78 6 55.78
42 ZIFI 50 DRY SYP 3004 FDC 30 ML 12/23 012G100 99 5 70.72 353.6 0 353.6 6 42.44
43 RANTAC 150 TAB 3004 UNIQ 1*30 01/24 KR322142 40.75 30 29.11 873.3 0 873.3 6 104.8
44 DULCOFLEX TAB 30049099 AVEN 1*10 06/25 DLA22048 12.46 10 9.34 93.4 0 93.4 3 4.68
45 IBUGESIC SYP 100 ML 30049099 CIPLA 100 ML 08/25 SE20789 23.52 5 16.80 84 0 84 6 10.08
46 EPSOLIN INJ 3004909 CADI 2 ML 06/26 N200706 13.34 7 9.53 66.71 0 66.71 6 8
47 ZEFU 250 TAB 3004 FDC 1*10 07/24 012H037 199 10 145.50 1455 0 1455 6 174.6
48 ZEFU 500 TAB 3004 FDC 1*10 08/24 0121124 385 40 276.80 11072 0 11072 6 1328.64
49 REACTIN 50 TAB 304 CIPLA 1*10 05/24 G22RDA019 21.34 70 9.50 665 0 665 6 79.8
Total Item: 49 1616

Tax Type Amount CGST SGST IGST Net Amt. Amount Discount CGST SGST IGST CNAmt. CNNumber Others ROff
GST 12% 36071.96 2164.3 2164.3 0 40400.56 41296
36912.86 0 2191.82 2191.82 0 0 -0.5
GST 18% 100 9 9 0 118
GST 5% 740.9 18.52 18.52 0 777.94

Previous Outstanding For, GOPINATH PHARMA

22-7670 09/03/22 1691 4316 31/12/22 41296
4389 04/01/23 46143
Bank Detail:VARACHHA CO OP BANK, KATARGAM BRANCH 00630110605803 VARA0289006
Authorised Signatory
Terms & Condition
Terms & Condition Subject To SURAT Jurisdiction.
,,,
R

TER
2/2022
NetAmt.

118
492.8
392
1377.6
840.8
25.76
963.2
84.5
177.9
83.86
168
179.2
3584
374.84
509.6
270.38
94.86
1153.6
1758.4
369.6
55.44
340.36
237.44
100.8
120.96
 2803.92
1075.2
154.56
367.8
815.62
131.04
128.24
464.8
106.4
34.64
2609.6
532
737.79
487.2
37.18
520.56
396.04
978.1
98.08
94.08
74.71
1629.6
12400.64
744.8

41296

INATH PHARMA

orised Signatory