Hardit Singh & Sons Form GST INV-1 (Tax Invoice)

CSA:WINGS PHARMACEUTICALS PVT. LTD.DELHI (See Rule 7 read with Section 31 of the CGST Act 2017)
Ist Floor, 61-M.I.G., North Idgah Colony, GSTIN :09ABJPS5728D1ZD PAN NO: ABJPS5728D
Agra-282010 DL No :160AGR/20B/2025
PHONE No: 9897605427 FSSAI LICENCE No.: 160AGR/21B/2025
Email:wingspharmaagra@gmail.com

IRN
Lotus Pharma-Agra SHIP TO PARTY: Lotus Pharma-Agra Invoice No: 2142100844 Bank Name: AXIS 25-JAN-2023
Shop No.8 , 8/557, Opp, Kotwali Khinni Gali, Fountain Agra,Agra, Thanks Shop No.8 , 8/557, Opp, Kotwali Khinni Gali, Fountain Agra,Agra, Invoice Dt: 25.01.2023 Chq./NEFT 39,926.00
Kotwali, 569 Agra,282003 India Thanks Kotwali, 569 Agra,282003 India Acc. Ref No: 2142100844 Amt.: AXMB23025860499 Original for Recipient
CONTACT NO: 9997173260 CONTACT NO: 9997173260 Acc. Ref. DT. 25.01.2023 NEFT/Cheque: 25.01.2023 Duplicate for Transporter
STATE & CODE: UTTAR PRADESH 09 STATE & CODE: UTTAR PRADESH 09 Cust PO No: hariom Cheque Dt: Triplicate for Supplier
GSTIN: 09AOUPA0401K1Z2 PAN NO: AOUPA0401K GSTIN: 09AOUPA0401K1Z2 PAN NO: AOUPA0401K PO Date: 25.01.2023 Mode of Pay:
DL No. 20B- 210AGR/20B/2015 DL No. 20B- 210AGR/20B/2015 SO. No: 1142101359 Trans:
Standard 2.0
DL No. 21B- 210AGR/21B/2015 DL No. 21B- 210AGR/21B/2015 SO Date:. 25.01.2023 LR No: Mix/Loose 0.0
Customer 11000380 LR Dt: 4,322.700 KGs Total 2
Sr. Material Description of goods HSN UOM MFG Batch No. Exp P.T.S P.T.R MRP Sales Free Total Trade Add. Taxable IGST CGST SGST/ GST
No Date Qty Qty Amount Discount +DSD Amount Rate% Rate% UGST Amount
(TD) Discount Rate%
1 50000222 Diclowin Plus Tab-30X20 30049069 STP WBT LLP PD1TC109 09.2025 8.00 8.80 22.00 4,320 0 34,560.00 0.00 518.40- 34,041.60 0.00 6.00 6.00 4,085.00
2 50000201 Hairshield Anti-lice 30ml 33042000 BTL WBT LLP HSH-377 09.2025 38.52 42.37 60.00 40 20 2,311.20 770.40- 23.11- 1,517.69 0.00 9.00 9.00 273.18
(Comb+B4G2)
SUB TOTAL 36,871.20 770.40- 541.51- 35,559.29 4,358.18
HSNCODE: 30049069:- 34041.60 CGST 6.00%= 2042.50 / SGST 6.00%= 2,042.50 Total Val(Rs.):38126.60 Total : 36,871.20
HSNCODE: 33042000:- 1517.69 CGST 9.00%= 136.59 / SGST 9.00%= 136.59 Total Val(Rs.):1790.87 Additional Discount : 541.51- Freight Amount 0.00
Trade Discount : 770.40- Invoice Value 39,917.47
Dealer Spl. Discount : 0.00 TCS 0.00
Taxable Amount : 35,559.29 Round off 0.47-
GST AMOUNT : 4,358.18 Grand Value 39,917.00
AMOUNT IN WORDS (RUPEES): THIRTY NINE THOUSAND NINE HUNDRED SEVENTEEN ONLY. FOR Hardit Singh & Sons

AUTHORIZED SIGNATORY
TERMS & CONDITIONS: (1) Invoices remaining unpaid for over due date of payment shall become payable alongwith Interest @18% P.A till date of payment.(2) Do not Pay cash or deliver saleable goods to any Sales Personnel against this bill or
otherwise if paid or goods handover, it will be the sole responsibility of Buyer. (3) In case, cheque of any Buyer bounces, bank charges @500/- per cheque bounced & Interest @1.5% P.M. has to be paid by Buyer for delayed days. (4) Subject to Delhi
jurisdiction only. Our responsibility ceases as soon as the goods leave our premises. (5) If Invoice remains unpaid even upto 60 days then further invoicing will be locked. (6) If quantity supplied in invoice is more than ordered then the buyer should inform to
H.O. immediately by email/text or letter. (7) No commitment of discount, compensation, replacement, scheme, incentive etc. is valid until it is given in writing on company letter pad/mail from SCM Head /Commercial received through CSA only. (8) All taxes
which the firm may be obliged to pay now or in future in respect transaction must be born and paid by the Buyer. (9) Any breakage/loss in goods supplied against this invoice should be informed within 7 days with LR copy. (10) Invoice contains the Drug Lic.
and GSTN registration details given by you and this shall be taken as correct and has not been changed. (11) Goods supplied against this Invoice do not contravene the provision of section 18 of Drug and cosmetics act 1940. (12) Without prejudice, we
assuming that the Drug License, GST No., Shipping & Billing Address, Bank Details provided by Buyer is duly valid and renewed in case of any discrepancies Buyer shall be solely liable for all the consequences.
Declarartion (1) The Price & Goods in this Invoice are True & Correct. (2) Warranty under PFA ACT 1954 Form VI-A FL No. PFA/191/09. We hereby certify that goods mentioned in this Invoice are warraned to be of the Nature and Quality which it
purpose to be.

Payments to be made by NEFT/RTGS or any other electronic mode only in favour of M/s Wings Pharmaceuticals Private Limited.
Bank Name: ICICI Bank, VAN No.WPPLIC11000380, IFSC: ICIC0000106 Branch: Punjabi Bagh Wealth Branch,Punjabi Bagh Extension, New Delhi Pin Code:110026
Wings Pharmaceuticals Pvt. Ltd. PAN No. AAACW0963B

Email : shailendra.krishna@wingspharma.co.in = Mobile : 9560453332 = Notes :

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